A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide?

Choice A reason: Evaluating the methods of successful smoking cessation programs is an important step in planning a smoking cessation program, but it is not the first action the nurse should take. The nurse needs to assess the needs and characteristics of the target population before selecting the most appropriate methods and interventions¹.

Choice B reason: Gaining community support for the program is a key factor in ensuring the program's sustainability and effectiveness, but it is not the first action the nurse should take. The nurse needs to identify the stakeholders and partners who can help with the program's implementation and evaluation².

Choice C reason: Determining the prevalence of smoking in the community is the first action the nurse should take. This is an assessment step that will help the nurse estimate the magnitude of the problem, identify the risk factors and barriers, and prioritize the goals and strategies for the program³.

Choice D reason: Formulating objectives for the smoking cessation program is a planning step that requires assessment data. The nurse should not formulate objectives without first determining the prevalence of smoking in the community and the needs and preferences of the potential participants⁴.

Choice A reason: This statement is not the best answer, as the National Institutes of Health (NIH) is not the primary agency responsible for regulating or enforcing environmental standards. The NIH is a research agency that supports biomedical and public health research.

Choice B reason: This statement is the best answer, as the Environmental Protection Agency (EPA) is the federal agency that protects human health and the environment by setting and enforcing standards for air, water, and land quality. The EPA regulates the use, disposal, and cleanup of asbestos, a known carcinogen and health hazard.

Choice C reason: This statement is not the best answer, as the Centers for Disease Control and Prevention (CDC) is not the primary agency responsible for regulating or enforcing environmental standards. The CDC is a public health agency that monitors and responds to disease outbreaks, conducts research, and provides health information.

Choice D reason: This statement is not the best answer, as the Department of Health and Human Services (HHS) is not the primary agency responsible for regulating or enforcing environmental standards. The HHS is a cabinet-level department that oversees various health and human services programs and agencies, such as the NIH, the CDC, and the Food and Drug Administration.