The Community Health Nurse is reviewing the social determinants of health.
Which action would the nurse take to address neighborhoods and built environments?

Choice A rationale:

Regression is a return to earlier stages of development and abandoned forms of gratification brought on by stressful situations, such as hospitalization. Bedwetting in a 7-year-old child who is hospitalized is an example of regression.

Choice B rationale:

Despair is a stage of psychosocial development in Erikson’s theory, not a type of incontinence.

Choice C rationale:

Protest is a stage in Bowlby’s theory of attachment, not a type of incontinence.

Choice D rationale:

Detachment is also a stage in Bowlby’s theory of attachment, not a type of incontinence.

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.