What is the greatest internal factor for the nurse to consider when educating an adult client concerning health promotion activities?

a. The client's emotional wellness
b. The client's developmental stage
c. The client's professed spirituality
d. The client's levels of education and literacy


D
Levels of education and literacy are important influences to consider when educating an adult client concerning health promotion activities. Literacy can influence health both directly (e.g., medication use, safety practices) as well as indirectly through use of services, lifestyles, income, work environments, and stress levels.
The client's degree of stress, depression, or fear, for example, can influence health beliefs and practices. The manner in which a person handles stress throughout each phase of life will influ-ence the way he or she reacts to illness. However, this is not the best available option.
A person's thought and behaviour patterns change throughout life. The nurse must consider the client's level of growth and development when using his or her health beliefs and practices as a basis for planning care. In this case, the client has been identified as an adult, and therefore the developmental stage has been determined.
Spirituality is reflected in how a person lives his or her life, including the values and beliefs ex-ercised, the relationships established with family and friends, and the ability to find hope and meaning in life. However, this is not the best available option.

Nursing

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