Final answer:
The stress from Joe's continuous arguments with his brother Sam is likely contributing to his elevated blood pressure, and therefore, option d) Joe's health is most likely being negatively impacted by his relationship with his brother is the correct answer. Addressing this stress, possibly through therapy and lifestyle changes, along with medical treatment, is crucial for his health improvement.
Step-by-step explanation:
The scenario describes Joe, who has a contentious relationship with his brother, Sam, which is causing him significant stress to the point of losing sleep. This level of stress is known to have a negative impact on health, specifically on cardiovascular health. When Joe visits the doctor and is told he has elevated blood pressure that requires medication, it is reasonable to deduce that the stress from his ongoing disputes with Sam could be contributing to his high blood pressure. Chronic stress can lead to persistent hypertension, which in turn increases the risk for cardiovascular diseases and strokes.
Hence, lifestyle changes, including managing stress and possibly seeking therapy, alongside medication, could be important steps for Joe in improving his health. The correct option concerning Joe's relationship with his brother causing his health issues is: d) Joe's health is most likely being negatively impacted by his relationship with his brother. While other factors could also be contributing to Joe's high blood pressure, the consistent stress from his relationship with Sam is quite likely playing a significant role. To best address his health, Joe might consider therapy to cope better with his brother, in addition to medical treatment for his hypertension.