Nurse preparing instructional session about managing stress incontinence for older adult. Which actions should nurse take first when meeting with client?

The correct answer is D because determining what the client already knows about stress incontinence is essential for tailoring the instructional session effectively. By assessing the client's existing knowledge, the nurse can avoid repeating information that the client already understands and focus on areas where the client needs more education. This approach ensures that the session is individualized and meets the client's specific needs. Encouraging active participation (choice A) and setting goals (choice C) can come after assessing the client's knowledge. Selecting appropriate materials (choice B) is important but should be based on the client's knowledge level.