Since trouble communicating can lead to difficulty in creating rapport, I would say true.
"Poor personal hygiene" is the main and biggest cause of foodborne illness. Personal hygiene is very basic to every individual. It reflects how we bring ourselves and take care of ourselves. It would be a great embarrassment to other people if you smell unpleasant, most especially towards your co-workers and employers.
B it is b because it says community. it is a specialized community most likely elder home. if it were c or d it would say something about the hospital.