A nurse is assisting with admitting a client who reports they are currently unemployed.
Which of the following factors of the social determinants of health (SDOH) is challenging for the client?

The correct answer is Choice D: The patient has a history of dehydration and orthostatic hypotension.

Choice A rationale:

This statement provides situational information about the patient's current condition, which is typically covered under "Situation" in the SBAR technique.

Choice B rationale:

This statement involves recommendations for potential interventions and would be appropriate for the "Recommendation" section of the SBAR communication.

Choice C rationale:

This statement details the patient's current vital signs, which also falls under the "Situation" or "Assessment" sections rather than "Background".

Choice D rationale:

Providing the patient's history of dehydration and orthostatic hypotension is crucial background information that helps the healthcare team understand the context and potential reasons for the patient's current condition. Background information includes relevant medical history, which can significantly impact clinical decisions.

Choice A rationale:

Reading poetry supports my soul. This statement is more about personal comfort and mental peace than religious belief.

Choice B rationale:

Spending time outside gives me peace. This is more about personal peace and connection with nature than a religious belief.

Choice C rationale:

I attend Mass every Sunday. This is a clear indication of a religious practice, specifically within Christianity.

Choice D rationale:

Sitting under a tree helps me connect with my guide. This could be interpreted as spiritual but not necessarily religious.