Maria is an RN who works the night shift on an oncology unit. She approaches Elena, the day shift nurse, for a report. Elena immediately begins to complain about the patient in Room 345. She says: "That patient thinks she knows everything because she is a nurse! She questions everything and wants to know why the medication was ordered and why she had to go to x-ray. I have had the worst time getting anything done! Have fun with her tonight! How should Maria respond to Elena? What are some barriers that may impact effective communication with the patient? What communication skills should Maria use when interacting with the patient?.