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Maryann is a nurse who sees many patients every year. She is alert to the behaviors that are harmful to her patients. What behaviors most contribute to chronic diseases that kill many Americans? A. not finishing all the antibiotics a doctor prescribes B. not managing chronic stress C. consistently getting fewer than seven hours of sleep a night D. smoking, alcohol abuse, lack of exercise, and poor nutrition

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Answer choice D is the most extreme, but also the question mentions chronic diseases and then answer B says managing chronic stress, and stress can lead to the development of chronic illnesses.