The nurse is reinforcing instructions to a community group regarding the risks and causes of bladder cancer. The nurse determines that there is a need for further teaching if a member of the community group makes which statement regarding this type of cancer?

a. It most often occurs in women.
b. It is generally seen in clients who are older than 40 years of age.
c. Environmental health hazards have been found to be a cause of this disease.
d. Using cigarettes, artificial sweeteners, and coffee drinking can increase the risk for this cancer.