A Client Says,"I Know My Family History Puts Me at Risk

A client says,"I know my family history puts me at risk for cardiovascular disease.What can I do to reduce my risk?" Which facts should the nurse consider when formulating a response?

A) Diet and physical activity contribute to the development of CVD.
B) As the American diet has become higher in calories and fat,the incidence of cardiovascular disease has increased.
C) The environment can trigger genetic changes that are outside the client's control.
D) Diet control and exercise should control genetic influences on disease development.
E) Epigenetic changes may or may not influence big differences in phenotype.