A home health nurse is scheduled for a first time visit to a client. Which of the following should the nurse perform first?

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: Implementing a disaster triage plan with a local medical facility is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster response efforts, which are the actions taken during or immediately after a disaster to save lives, minimize injuries, and protect property.

Choice B reason: Functioning as a manager at a temporary shelter is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster recovery efforts, which are the actions taken after a disaster to restore the normal functioning of the community and the environment.

Choice C reason: Assisting with the identification of a biological agent is not an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster mitigation efforts, which are the actions taken before, during, or after a disaster to reduce or eliminate its impact.

Choice D reason: Organizing a mass casualty drill for community members is an action that the nurse is engaging in disaster preparedness efforts. This is an action that the nurse is engaging in disaster prevention efforts, which are the actions taken before a disaster to prevent or minimize its occurrence or effects. A mass casualty drill is a simulation exercise that tests the readiness and capacity of the health care system and the community to respond to a large-scale emergency.