an active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. the nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. the client avoids the topic of surgery and attends church weekly. the client's family is supportive of any decisions the client makes regarding health. which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis?