4.3 You are assisting a health professional during an appointment with a mother and her three children. You are trying to communicate with the mother that there are health concerns for one of her children that will require attention at a follow-up appointment. The other two children are in the room and are arguing loudly despite the mother's objection. You notice that when speaking with the mother, she is not holding eye contact and does not appear to be engaged with you.

a) What communication constraints may be present in this scenario?

b) How can you adapt your communication to ensure that the mother has heard and understood your communication?