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:

An informal spoiler typically indulges their grandchildren with treats and fun, often in a way that may spoil them. This doesn’t fit the scenario described.

Choice B rationale:

A surrogate grandparent steps in to fulfill the parental role when the parents are unavailable or unable to do so. In this case, the grandparent is helping with food preparation due to the parents’ limited time, which aligns with the surrogate role.

Choice C rationale:

A wisdom provider shares life experiences and lessons, but this isn’t mentioned in the scenario.

Choice D rationale:

A formal grandparent adheres to traditional expectations and rules, which isn’t reflected in the scenario.

Choice A rationale:

Standing at the patient’s bedside can seem intimidating, which might hinder communication.

Choice B rationale:

Using simple yes-no questions can limit the depth of information gathered.

Choice C rationale:

Limiting the amount of time can make the patient feel rushed and less likely to share important information.

Choice D rationale:

Leaning forward when listening shows engagement and can enhance communication. .