Amin Is Working in the Emergency Department

Multiple Choice

Amin is working in the emergency department. One of his clients, a 70-year-old man visiting from China, requires an emergency procedure. Amin has asked his client to read the brochure on the emergency procedure and to sign the consent. Amin's client tells him that he did not go to high school, he cannot read the literature that has been given, and he cannot read the consent. Which of the following risk factors does the nurse know can put Mr. Chen at risk of having lowered health literacy skills?

A) English as a second language, age, reading and writing ability
B) immigrant status, socio-economic status, and age
C) immigrant status, reading and writing ability, and age
D) English as a second language and reading and writing ability