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with great language ____ the doctor and nurse asked the frig

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with great language ____ the doctor and nurse asked the frightened children to give blood.
语言交流困难,空格中用什么词?我能想到的就是
obstacle
barrier
difficult是不是要转成名词形式?
with great language ____ the doctor and nurse asked the frig
difficulty
困难 ,名词形式.
参考例句
They always meet misunderstandings because of language difficulties.
他们因为语言不通,总是产生误会.
再问: 谢谢,那这里要用单数还是复数?
再答: 单数