A Nurse Working in an Inner-City Community Health Clinic Is

A nurse working in an inner-city community health clinic is concerned that her patient education efforts related to achieving a healthy lifestyle are not resulting in any substantial changes in her patients. When she discussed this with one mother whose children are struggling with obesity, the mother explained that she is unable to find fresh fruits and vegetables in their neighborhood and resorts to the use of fast food. This information makes the nurse wonder if this is true for other families. What should she do next?

A) Ask families she sees to keep a food journal to see what food substitutions could be made.
B) Perform a problem- or health-issue-based assessment beginning with an assessment of sources of healthy foods such as supermarkets and farmers markets available in the community.
C) Arrange for free bussing from the community center to the closest supermarket.
D) Refer them to the local supplemental nutrition assistance program (SNAP) office to help them obtain benefits.