Nurses assess the need for supplements through a variety of methods, including: 1. Dietary History: Evaluating the patient's diet to identify any nutritional gaps. 2. Blood Tests: Checking levels of specific nutrients to determine deficiencies. 3. Physical Examination: Observing physical signs that might indicate nutrient deficiencies, such as pale skin or brittle nails. 4. Medical History: Considering any existing health conditions that may affect nutrient absorption, such as Crohn's disease or celiac disease.