A nurse at a clinic is discussing with a newly licensed nurse social determinants of health (SDOH). Which of the following should the newly licensed nurse identify as an example of the social and community context determinant of health?

Choice A rationale:

Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. It’s not a stress-related disorder.

Choice B rationale:

Acute stress disorder (ASD) occurs immediately after a traumatic event, not a year later.

Choice C rationale:

Episodic acute stress involves frequent bouts of stress, not flashbacks of a traumatic event.

Choice D rationale:

Posttraumatic stress disorder (PTSD) is a disorder characterized by failure to recover after experiencing or witnessing a terrifying event. The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions, such as flashbacks, as described in the scenario.

Choice A rationale:

This statement assumes that seeking help will automatically make the client feel better, which may not be the case.

Choice B rationale:

This question could be seen as blaming the victim for the partner’s anger.

Choice C rationale:

This response shows empathy and encourages the client to express her feelings.

Choice D rationale:

This choice is not provided in the question.