Which behavior indicates Rose misunderstands her GERD management plan?

The option indicating that Rose has misunderstood her GERD management plan is having a snack before retiring. For individuals dealing with gastroesophageal reflux disease (GERD), it's generally recommended to avoid eating right before bedtime. Consuming snacks close to sleep can exacerbate symptoms due to increased stomach acid production and reflux during the night. Proper management often includes allowing time between the last meal and going to bed to reduce the likelihood of nighttime symptoms.

In contrast, avoiding certain foods like coffee, alcohol, chocolate, peppermint, and spicy foods aligns with managing GERD, as these items are known to trigger symptoms. Eating smaller meals is also encouraged because it helps reduce the pressure on the stomach and minimizes reflux episodes. Stopping smoking is beneficial as smoking can impair the function of the lower esophageal sphincter, which is crucial for maintaining proper reflux control. Each of these behaviors supports effective GERD management, while snacking before bed is counterproductive.