UPRVUNL - 2021
Nursing Foundation
Medium

Which of the following is NOT a barrier of effective communication?

Appeared in: UPRVUNL - 2021

Explanation

  • Channel richness is a concept that describes the capacity of a communication channel, not a barrier that impedes communication.
  • It refers to the amount of information a channel can carry, including verbal cues, non-verbal cues, and the potential for immediate feedback.
  • Choosing a channel with appropriate richness (e.g., face-to-face for sensitive news) is a strategy to enhance communication effectiveness, not hinder it.

Why Other Options Were Wrong

  • Option A: This is a valid category of communication barriers. It includes physical issues with the sender or receiver, such as hearing impairment, visual loss, pain, or fatigue, which can distort or block messages.
  • Option B: This is a valid category of communication barriers. It involves internal mental and emotional states like stress, anxiety, fear, personal biases, or lack of trust that can interfere with objective communication.
  • Option C: This is a valid category of communication barriers. It refers to external factors in the physical setting, such as loud noises, poor lighting, or lack of privacy, that can distract from the communication process.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Barriers to Effective Communication and Communication Channels as background academic context rather than a clinical decision trigger.
  • Nurses must constantly assess for communication barriers in patients (e.g., post-operative pain, anxiety, hearing loss) and adapt their communication style and channel accordingly to ensure patient safety and understanding.
  • For example, when obtaining informed consent, a nurse must ensure no psychological barriers (like fear) or physiological barriers (like effects of sedation) are preventing the patient from fully understanding the procedure.
  • What if? If a patient is in an isolation room (an environmental barrier), the nurse cannot rely on low-richness channels like an intercom. They must use appropriate PPE and engage in face-to-face communication to build rapport and accurately assess the patient.
How to Approach the Question
  • First, analyze the question to identify the core concept, which is 'barriers of effective communication'.
  • Note the negative keyword 'NOT'. This means you are looking for the option that does not fit the category of a communication barrier.
  • Evaluate each option: 'Physiological', 'Psychological', and 'Environmental' are all well-known classifications of communication barriers.
  • Consider the last option, 'Channel richness'. Recall or deduce its meaning. It refers to the quality or capacity of a communication method.
  • Conclude that since channel richness is a characteristic of the communication method itself, and not an obstacle, it is the correct answer.
Concept Tested & Keywords
  • Concept Tested: Barriers to Effective Communication and Communication Channels
  • Stem keywords: effective communication, barrier
  • Lead-in keywords: NOT
  • Negative lead-in flag: The question asks to identify the option that is NOT a barrier to communication.

Question ID

QUpcAw5mThH9p8zDOr7MFf

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 174-176

E6 Nursing Fundamentals Taylor p. 82-84

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