Final answer:
To communicate effectively with a client who has total hearing loss, a nurse aide should use alternative communication methods such as writing, sign language, or assistive technology.
Step-by-step explanation:
To best communicate with a client who has total hearing loss, a nurse aide should consider using alternative methods of communication aside from speaking, as speaking slowly and clearly will not be effective. These can include writing down information, using sign language if the nurse aide is proficient in it, or utilizing technology such as text-to-speech apps. The aim is to find the most suitable means of communication that respects the client's needs and ensures understanding.