Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary

recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is

important but is not the first priority. Based on the client’s wish to reduce her chances of heart disease and

diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk

factors for heart disease and diabetes is important but is not the first step.Health Promotion and Management