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Your client is a 34-year-old Hispanic-American farm worker who was diagnosed last year with bipolar disorder and who has been prescribed lithium carbonate. He came to the United States from Nicaragua 18 months ago. You are meeting him for the first time, after he has had 4 hospitalizations for his disorder and during which his lithium levels ranged from "undetectable" to 2.1 mEq/liter. What is the first step that you would take to assess his "health literacy" concerning his disorder?
a. Determine whether he speaks English well enough to understand explanations and directions in English or whether he needs a translator.
b. Ask him whether he was given information on bipolar disorder during and after his hospitalizations.
c. Ask him to describe in his own words what his illness is and what he must do to manage it.
d. Find out how much formal schooling he has had.
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