A nurse is reinforcing teaching with a client about the risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. A family history of melanoma increases an individual’s risk for skin cancer due to genetic predisposition. The statement reflects a misunderstanding of the genetic risk factor. B. Tanning bed use exposes the skin to artificial UV radiation, which increases the risk of skin cancer, including melanoma and nonmelanoma types. Switching from sunbathing to tanning beds does not reduce risk; it maintains or even increases it. C. Individuals with a light complexion, fair skin, blue or green eyes, or red/blonde hair are at higher risk for skin cancer because they have less melanin, which provides some natural protection from UV radiation. This statement demonstrates a misunderstanding. D. Sunscreen is necessary year-round, including in winter, because UV rays can penetrate clouds and reflect off surfaces such as snow, increasing cumulative exposure. Using broad-spectrum sunscreen, protective clothing, and limiting UV exposure are key preventive measures against skin cancer.