This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General surgery, Subject name: Surgery
Which of the following is not a proactive approach to prevent unnecessary stress in a surgical patient? 
Select and explain. 
A. Using minimal access techniques, B. Nerve blocks, C. Minimal periods of starvation, D. Prolonged bed rest
D: Prolonged bed rest
Answer: D: Prolonged bed rest 
Explanation: A proactive approach to prevent unnecessary aspects of the surgical stress response areMinimal access techniquesBlockade of afferent painful stimuli (e.g. epidural analgesia, spinal analgesia, wound catheters)Minimal periods of starvationEarly mobilisationRef: Bailey and love 27e pg: 11