A nurse is preparing to reinforce education with a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

Choice A rationale:

This statement is incorrect. The ACA prohibits insurance companies from denying coverage to individuals with pre-existing conditions.

Choice B rationale:

The ACA aims to reduce disparities in health care by expanding access to health insurance and making care more affordable.

Choice C rationale:

While there are eligibility requirements for certain ACA programs, the ACA itself is not limited to a specific group of individuals.

Choice D rationale:

The ACA is not primarily for individuals requiring tertiary care. It is a comprehensive health care reform law enacted to make health insurance more affordable and accessible for all Americans.

Choice A rationale:

This statement is incorrect. SDOH include social and economic factors, not psychological factors.

Choice B rationale:

This statement is incorrect. Identifying SDOH helps to address disparities in health care, not increase them.

Choice C rationale:

This statement is correct. SDOH are conditions in the environments where people live, learn, work, and play that affect a wide range of health and quality-of life-outcomes and risks.

Choice D rationale:

This statement is incorrect. SDOH are not determined by an individual’s ethnic background, but rather by a wide range of factors including socioeconomic status, education, physical environment, employment, and social support networks.