When the nurse is educating an adult patient about health promotion activities,which of the following is the most important internal patient factor for the nurse to consider?

A) Emotional wellness.
B) Developmental stage.
C) Professed spirituality.
D) Levels of education and literacy.

Levels of education and literacy are important influences to consider when the nurse is educating an adult patient about health promotion activities.Literacy can influence health both directly (e.g. ,with regard to medication use,safety practices)as well as indirectly (through use of services,lifestyles,income,work environments,and stress levels).Spirituality is reflected in a person's values and beliefs,the relationships established with family and friends,and the ability to find hope and meaning in life;however,these can change throughout life;however,it is not the most important factor to consider.The nurse must consider the patient's level of growth and development when using the patient's health beliefs and practices as a basis for planning care,but this is not the most important patient factor to consider.In this case,the patient is at the adult developmental stage.The patient's emotional wellness-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 influence the way he or she reacts to illness.However,this is not the best available option.