George lowers his heads and with a sad expression on his face, orally tells his patient that they have been diagnosed with stage 4 pancreatic cancer. Which key role of non-verbal communication did George use? Regulation, repetition, contradiction, substitution, accenting.

Substitution/Repetition. By displaying a sad expression on his face, George is using non-verbal communication to convey the emotional weight of the diagnosis to his patient. This reinforces the message being delivered verbally and helps to emphasize the seriousness of the situation.