During a Patient Education Session, You Notice That Your Middle-Aged

During a patient education session, you notice that your middle-aged patient hands all of the written materials to his spouse. You also notice that some of the forms in his medical record are incomplete. These may be cues that the patient:

A) is not be ready to learn.
B) has low self-efficacy.
C) has low health literacy skills.
D) does not understand the severity of his illness.
E) has had all of his learning needs met.