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After contributing to a health education class on heart attack prevention, a nurse encounters a student from the previous year, who happily reports applying much from the class to everyday life. During the 5-minute meeting, the nurse notes that the former student is approximately 50 lb (22.7 kg) overweight, smokes, and is eating a bag of potato chips. Based on this information, What can the nurse conclude?
1) The student did not attend the entire class.
2) The application of behavioral changes needs to be reevaluated.
3) A demonstration of accurate knowledge of heart attack prevention is evident.
4) The student may have a hearing impairment.