The nurse suspects that the patient's communication is being negatively influenced by personal attitude when he is heard stating:
a. "They think I'm mentally ill but I'm not; I just get a little depressed at times."
b. "I can't concentrate on anything besides getting out of here and back to my kids."
c. "Obviously my therapist can't understand where I'm coming from because our lives are so different."
d. "There isn't anyone here in this hospital I can trust enough to talk to about why I abuse alcohol and drugs."
ANS: C
Attitude determines how one person responds to another. It includes one's biases, past expe-riences, and openness. People of different socioeconomic backgrounds may have difficulty surmounting this barrier. The remaining options reflect factors that can negatively influence communication but they are environmental, knowledge, and relationship oriented.
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