The Nurse Assesses a Toddler with an Apparent Ear Infection

The nurse assesses a toddler with an apparent ear infection in the emergency department. During the assessment, the nurse finds that the child is not up to date on immunizations or well-baby checkups. Upon further investigation, the nurse discovers that the family is uninsured and undocumented immigrants. What are the most likely barriers to effective communication at this time?

A) The insurance status affects many health-care practices such as immunizations.
B) The possible language issue may affect the family's comprehension of instructions.
C) The family may have barriers to transportation, employment, or knowledge.
D) The family may not have a primary care provider and relies upon emergency