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:

Explaining that the hospital follows a preferred provider organization structure does not help the patient obtain health insurance.

Choice B rationale:

Reviewing the benefits of obtaining health insurance through a health maintenance organization does not help the patient obtain health insurance.

Choice C rationale:

Asking social services to help the patient use the state health care exchange to shop for health insurance coverage is the best action as it directly addresses the patient’s need.

Choice D rationale:

Suggesting the patient consider contacting the state to enroll in Medicaid may not be appropriate if the patient does not meet the eligibility criteria for Medicaid.

Choice A rationale:

Communication is important in patient care, but it’s not the foundation for all aspects of care.

Choice B rationale:

Collaboration is necessary for a team approach to care, but it’s not the foundation.

Choice C rationale:

Critical thinking is a part of clinical judgment, but it’s not the foundation.

Choice D rationale:

Clinical judgment is the foundation for all aspects of patient care. It involves using critical thinking, communication, and collaboration skills.