A junior doctor, Sarah, is explaining a diagnosis to a patient, Mr.
Evans, who is 78 years old and hard of hearing.
Sarah is speaking quickly and using complex medical terminology.
Mr.
Evans is nodding along, but his brow is furrowed and he avoids eye contact.
When Sarah asks, "Do you have any questions?", he quietly says, "No, I don't think so, dear." Which of the following best describes the core issue in this interaction?
