A patient who is a migrant farm worker did not graduate from high school and speaks English as a second language.The nurse will be providing discharge teaching after a hysterectomy.The nurse is concerned about the patient's ability to understand the discharge instructions.Which of the following should be of most concern in this situation?

A) Motivation
B) Developmental stage
C) Health literacy
D) Psychomotor learning

Health literacy includes patients' reading and math skills,comprehension,the ability to make health-related decisions,and successful functioning as a consumer of health care.It is a strong predictor of health status and patient outcomes.Psychomotor learning occurs when patients acquire skills that require the integration of knowledge and physical skills.Developmental stage is not as important as health literacy and developmental stage is more important when teaching children.Motivation is an internal impulse,such as an emotion or need,which prompts,guides,and sustains human behavior.