The nurse instructs a patient with a myocardial infarction about the disease process. Which patient statement indicates that additional teaching is needed?
◦ "A heart attack is the same as a myocardial infarction (MI)."
◦ "Angina always leads first to decreased blood flow to the heart muscle and then to tissue death."
◦ "A heart attack causes tissue death, and that part of the heart may not pump as well."
◦ "A heart attack in the anterior wall of the heart can be very serious because a large portion of the heart may not pump as well."