In the Information Exchange domain, the skill "Asserts " primarily refers ; to: a. Expressing desires, needs , or refusals clearly and directly. b. Providing detailec personal information. c. Engaging others emotionally during interactions. d. Supporting group activities through task- sharing.

The correct answer is a. Expressing desires, needs, or refusals clearly and directly.<br /><br />In the Information Exchange domain, the skill "Asserts" primarily refers to the ability to express one's desires, needs, or refusals in a clear and direct manner. This skill involves standing up for oneself while still respecting the rights and needs of others. It is important in effective communication and helps to prevent misunderstandings and conflicts.