Each of the above options can individually interfere with the communication between a nursing assistant and their patient. The combination of these options could make communication even more difficult. An NA are able to sometimes notice small nuances and ‘read between the lines’ by listening to their patient carefully and observing their behaviour. This are able to enable them to be even more understanding of what type of response is needed. As their caregiver, you must take the time to make clear procedures and ask if your patient has any questions.