Mr. Jenkins is a 79-year-old man seen for a routine primary care visit. His medical history includes hypertension, type 2 diabetes mellitus, hyperlipidemia, and a 30-pack-year smoking history (quit 5 years ago). He reports missing doses of lisinopril, atorvastatin, and metformin and admits to a sedentary lifestyle and high-sodium diet. His father died of a stroke at age 67. The nurse is developing an individualized education plan focused on stroke prevention.

A. Stress reduction is beneficial but overstating it as the single priority over medication adherence, diet, and activity misdirects focus from proven modifiable risks. B. Genetic counseling may be helpful in select cases but does not address the immediate, evidence-based modifiable risks that are the highest yield for prevention. C. Emphasizing that age/family history are nonmodifiable while highlighting medication adherence, diet (e.g., lower sodium, Mediterranean-style), and increased activity as modifiable interventions is the best approach to reduce stroke risk - it’s evidence-based and patient-centered. D. Quitting smoking reduces risk substantially, but residual stroke risk is still strongly influenced by modifiable factors like BP control, lipids, glucose, diet, and adherence - reassurance that age/family now dominate is misleading.