The nurse is evaluating the client's understanding of non-modifiable risk factors for cardiovascular disease. Which statement by the client indicates an understanding of non-modifiable risk factors?

Choice A reason: Non-modifiable risk factors are those that an individual cannot change, such as age, gender, race, and genetic predisposition. Family history is a primary non-modifiable risk factor; inquiring about it shows the client recognizes that their inherited biological background contributes significantly to their overall cardiovascular risk profile. Choice B reason: Making an appointment with a dietician is an action aimed at changing modifiable risk factors. Diet, weight, and nutritional intake are behaviors that can be controlled or altered through intervention. While beneficial for heart health, they do not fall under the category of non-modifiable biological traits. Choice C reason: Limiting alcohol intake is a lifestyle modification. Alcohol consumption is a behavioral choice that can impact blood pressure and lipid levels. Because the client has the power to change this behavior, it is categorized as a modifiable risk factor rather than an inherent, unchangeable biological factor. Choice D reason: Starting a regular walking schedule addresses physical inactivity, which is a modifiable risk factor. Increasing physical exertion improves cardiovascular health and can be initiated at the client's discretion. This does not reflect an understanding of factors like age or genetics that are beyond personal control