The nurse provides education to a client with a diagnosis of age-related macular degeneration (AMD). Which client statement indicates effective learning has occurred?

A. This statement reflects understanding of cataracts, not AMD. Cataracts cause clouding or opacity of the lens, whereas AMD primarily affects the central portion of the retina (macula), impairing central vision. B. This is more characteristic of glaucoma, where peripheral vision is lost first. AMD affects central vision, so this statement demonstrates a misunderstanding. C. This is relevant for diabetic retinopathy, not AMD. While maintaining overall eye health is beneficial, glycemic control does not prevent AMD progression. D. This statement accurately reflects the impact of AMD on central vision, which is required for detailed tasks such as reading, sewing, or recognizing faces. Clients with AMD often maintain peripheral vision but experience difficulty with tasks that require fine visual acuity. This demonstrates effective learning about the functional limitations associated with AMD.