A Clinic Nurse Is Providing Patient Education Prior to a Patients

A clinic nurse is providing patient education prior to a patients scheduled palliative radiotherapy to her spine. At the completion of the patient teaching, the patient continues to ask the same questions that the nurse has already addressed. What is the plausible conclusion that the nurse should draw from this?

A) The patient is not listening effectively.
B) The patient is noncompliant with the plan of care.
C) The patient may have a low intelligence quotient or a cognitive deficit.
D) The patient has not achieved the desired learning outcomes.