Answer:
Yes it appropriate to use the normal approximation to find the probability that more than 43% of the people in the sample have high blood pressure
Explanation:
From the question we are told that
The population proportion is p=0.4
The sample size is n = 39
The sample proportion is

Generally for normal approximation to be used

so np = 39 * 0.4 = 15.6 > 10
and

so n(1-p ) = 39(1-0.4) = 23.4 >10
Given that the both condition is meet it mean that it appropriate to use the normal approximation to find the probability that more than 43% of the people in the sample have high blood pressure