Which statements best describe the relationships between biological sex, gender identity, and gender expression? check all that apply. biological sex, gender identity, and gender expression are always in alignment. a person can be biologically a male and have a female gender identity. it is not uncommon for someone with a male gender identity to have a male gender expression. biological sex and gender identity do not always align. biological sex is not related to culture, but gender identity and gender expression are. if a person has a female gender identity, she will be biologically female.

I believe these are the correct answers:
1. A person can be biologically a male and have a female gender identity.
A person can identify as either male or female regardless of their actual sex

2. It is not uncommon for someone with a male gender identity to have a male gender expression. 
In most cases, a person who identifies as a male will also exhibit typically 'male' behavior

3. Biological sex and gender identity do not always align. 
As I said, you can identify as either male or female not taking into account your actual biological sex

4. Biological sex is not related to culture, but gender identity and gender expression are.
Biological sex is what you are born with, but as you grow up and are influenced by culture and people around you, you may start to think of yourself in another way

Well, l think that some effective communication is, emotional barriers and lack of attention, interest distraction or irrelevance. also some physical disabilities such as hearing problems or speech difficulties.      l hope i am correct  and you good luck.