A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity?

Choice A reason: Providing the client with a printed recipe is not the first action that the nurse should take when assisting this client. The nurse should first assess the client's current dietary practices and preferences, and then provide culturally appropriate and individualized education and guidance.

Choice B reason: Observing the client during preparation of traditional foods is the first action that the nurse should take when assisting this client. This will help the nurse to understand the client's cultural values and beliefs, as well as the ingredients and methods used in preparing the foods. The nurse can then offer suggestions on how to modify the recipes to fit the client's meal plan.

Choice C reason: Using cookbooks to include traditional foods in meal plans is not the first action that the nurse should take when assisting this client. The nurse should first observe the client's food choices and cooking techniques, and then collaborate with the client to find cookbooks that are suitable for the client's culture and health condition.

Choice D reason: Explaining diabetes exchange list is not the first action that the nurse should take when assisting this client. The nurse should first observe the client's eating habits and patterns, and then educate the client on how to use the exchange list to plan balanced meals that include traditional foods.

Choice A reason: One dose of the immunization does not give children lifelong protection from hepatitis B. The immunization requires a series of three or four doses, depending on the vaccine type, to provide long-term immunity. The first dose is usually given at birth, followed by the second dose at 1 to 2 months of age, and the third dose at 6 to 18 months of age. Some children may need a fourth dose at 4 to 6 years of age.

Choice B reason: Hepatitis B does not spread easily among children through casual contact. Hepatitis B is a blood-borne infection that is transmitted through exposure to infected blood or body fluids, such as through sexual contact, sharing needles, or from mother to child during birth. Casual contact, such as hugging, kissing, or sharing food, does not pose a risk of transmission.

Choice C reason: Many people who acquire acute hepatitis B develop chronic hepatitis. Chronic hepatitis is a condition where the infection persists for more than six months and causes inflammation and scarring of the liver. Chronic hepatitis can lead to serious complications, such as cirrhosis, liver failure, or liver cancer. About 90% of infants, 25% to 50% of children aged 1 to 5 years, and 5% to 10% of adults who get infected with hepatitis B will develop chronic hepatitis.

Choice D reason: People who have had a hepatitis B infection do not need the immunization. The immunization is only effective in preventing the infection, not treating it. People who have had a hepatitis B infection will develop natural immunity, which means they will not get infected again. However, they should still be monitored for any signs of liver damage or complications.