Which represents the greatest potential barrier to effective communication?
1. The nurse gives discharge instructions to a couple in their early 80s.
2. The nurse manager hires a new nurse originally from the Philippines.
3. The emergency nurse receives a client via ambulance transferred for confusion.
4. The nurse obtains an admission history from the parents of an adopted child.
Answer: 3
Rationale: Communication will be most affected by the confusion of the client, because the nurse cannot be sure of anything the client communicates. Just because a person is adopted, elderly, or originally from another country does not automatically represent a communication barrier.
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