The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease. Which statement made by the client indicates a need for further instruction?

Crohn’s disease is a chronic inflammatory bowel disease characterized by transmural inflammation that can affect any part of the gastrointestinal tract. It typically presents with abdominal pain, diarrhea, weight loss, and periods of exacerbation and remission. Management focuses on reducing inflammation, preventing flare-ups, and maintaining adequate nutrition. Dietary modifications are an important part of care, especially during active disease when certain foods can worsen symptoms or increase bowel irritation. A. Recognizing that Crohn’s disease has periods of exacerbation and remission is correct understanding. Crohn’s disease follows a relapsing-remitting course, meaning symptoms can worsen during flares and improve during remission. This statement reflects accurate knowledge of the disease process and expected clinical pattern. B. Increasing fiber intake indicates a need for further teaching because high-fiber foods can worsen symptoms during active Crohn’s disease. Fiber may increase bowel irritation, abdominal cramping, and obstruction risk, especially in clients with strictures. During flare-ups, a low-residue or low-fiber diet is typically recommended instead. C. Learning stress reduction techniques is appropriate because psychological stress can exacerbate symptoms and trigger flare-ups in Crohn’s disease. Stress management strategies such as relaxation techniques, counseling, and mindfulness can help reduce disease exacerbations and improve overall quality of life. D. Avoiding caffeinated beverages is appropriate because caffeine can stimulate bowel activity and increase diarrhea and abdominal discomfort in Crohn’s disease. Limiting caffeine helps reduce gastrointestinal irritation and supports better symptom control, especially during active disease phases.