A nurse at a clinic receives a provider's prescription to admit a child to an acute care facility for asthma management. The nurse reinforces teaching with the parents about acute care. Which of the following statements by the parent indicates an understanding of acute care?

Choice A reason: Sunbathing is a modifiable risk factor for developing a disease. Sunbathing exposes the skin to ultraviolet (UV) radiation, which can damage the DNA and cause skin cancer. Sunbathing can also cause premature aging, sunburn, and eye damage. The nurse should advise the client to limit sun exposure, use sunscreen, wear protective clothing, and avoid tanning beds.
Choice B reason: Family history is not a modifiable risk factor for developing a disease. Family history refers to the inherited traits and diseases that occur in the family. Family history can increase the risk of developing certain diseases, such as diabetes, heart disease, and cancer. The nurse should assess the client's family history and provide genetic counseling if needed.
Choice C reason: Genetics is not a modifiable risk factor for developing a disease. Genetics refers to the genes that determine the characteristics and functions of the body. Genetics can influence the susceptibility and resistance to certain diseases, such as cystic fibrosis, sickle cell anemia, and hemophilia. The nurse should educate the client about the role of genetics in health and disease, and refer the client to a genetic specialist if needed.
Choice D reason: Age is not a modifiable risk factor for developing a disease. Age refers to the number of years that a person has lived. Age can affect the body's ability to fight infections, heal wounds, and prevent chronic diseases. The nurse should monitor the client's age-related changes and provide age-appropriate care and interventions.

Choice A reason: If client is uninsured the ED can decline to render services is not an information that the nurse should include in the teaching. This is a false statement that contradicts the purpose and the provision of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who requests it, regardless of their insurance status or ability to pay.
Choice B reason: The ED has the right to refuse to provide client services is not an information that the nurse should include in the teaching. This is a false statement that violates the principle and the requirement of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department has a duty to provide stabilizing treatment to any individual who has an emergency medical condition or is in active labor, unless an appropriate transfer is arranged.

Choice C reason: The ED can transfer medically unstable clients to other facilities is not an information that the nurse should include in the teaching. This is a false statement that breaches the rule and the regulation of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must not transfer an individual who has an emergency medical condition or is in active labor, unless the transfer is requested by the individual or their representative, or the transfer meets certain criteria, such as the benefits outweigh the risks, the receiving facility has agreed to accept the transfer, and the transfer is effected by qualified personnel and equipment.
Choice D reason: Clients must receive a medical screening evaluation (MSE) is an information that the nurse should include in the teaching. This is a true statement that reflects the essence and the standard of EMTALA. According to EMTALA, any hospital that participates in Medicare and has an emergency department must provide an appropriate medical screening examination to anyone who comes to the emergency department and requests examination or treatment for a medical condition, to determine whether or not an emergency medical condition exists