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Assess for Emotional Barriers to Learning

Feelings of fear, denial, anxiety, guilt and anger are reactions that can provide obstacles to learning.

Mild anxiety may actually sharpen a person's attention, but more intense emotional responses can be overwhelming and impede learning.

Try to determine the source of the emotional response and identify the patient's coping mechanisms.

Assess non-verbal cues such as behavior, facial expressions and gestures.

Enlist the family's assistance and provide teaching to the family member the patient designates.