After the Nurse Implements Diet Instruction with a Patient with Heart

After the nurse implements diet instruction with a patient with heart disease,the patient can explain the information but fails to make the recommended dietary changes.Which of the following statements best describes the nurse's evaluation observation?

A) The nursing responsibility has been fulfilled.
B) Learning did not occur because the patient's behaviour did not change.
C) Choosing not to follow the diet is the learning behaviour that resulted.
D) The instructional methods were not effective in helping the patient learn.