Which approach is described as indirect and multimodality because visuo-spatial skills are relatively intact in aphasia?

• A. speaking
• B. repetition
• C. coding
• D. drawing

Answer: (D)

This item is about using nonverbal, multimodal methods that tap into preserved visuospatial skills in aphasia. Drawing is the best example because it lets a person convey ideas without relying on fluent speech. It engages multiple systems at once—the mental image, the motor act of drawing, and the listener’s interpretation—creating a supportive scaffold for communication when verbal output is impaired. People with aphasia often retain visuospatial and motor planning abilities, so drawing leverages those strengths rather than overemphasizing language production. In contrast, speaking and repeating depend directly on speech production, and coding tends to stay more language-centered, making them less aligned with an indirect, multimodal approach that utilizes intact visuospatial skills.