A Nurse Is Working at a Specialized Clinic for Patients

A nurse is working at a specialized clinic for patients with chronic obstructive pulmonary disease (COPD) . Each year, the nurse recommends that patients get the influenza vaccine from their primary care provider, but notices that there are a lot of older women who do not get the vaccine, despite the recommendations. What should the nurse do first?

A) Print educational materials about the importance of yearly flu shots.
B) Set up low-cost transportation to local primary care providers for the women.
C) Start offering the flu shot at the COPD clinic.
D) Perform a focused community assessment to determine why these women aren't getting the flu shot.