The nurse is giving you the shift report.She states the client's diagnoses,treatments,and course of hospitalization.When describing the client she states,"Whenever I try to teach him something,he becomes difficult and argumentative." What client information about patient teaching should you ask? Select all that apply.

A) Level of literacy
B) Primary language
C) Need for humor
D) Level of anxiety
E) Questions answered

If using print-based materials for patient teaching,the nurse would need to know the patient's literacy level and make sure information is presented at the appropriate reading level.The nurse must be aware of language comprehension to communicate effectively with the client.The nurse might plan to use various tools for translation,if language proficiency is a problem.When the nurse starts teaching,the client shows his anxiety about the health topic by his difficult and argumentative behavior.As level of client anxiety can be a barrier to learning,the nurse must assess anxiety and stress to make sure the teaching is done at a time of the lowest levels of anxiety and stress.Assessment of whether the client's questions were answered in his primary language to ensure understanding is very important for the nurse to know.Humor should not be used,especially in a second language for the nurse,as it may be misinterpreted or misunderstood.