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?

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:

Sitting with the hands in the lap and the legs uncrossed indicates a relaxed and open posture, suggesting the patient is comfortable and willing to communicate.

Choice B rationale:

Staring out the window while answering questions suggests distraction or disinterest, which does not facilitate effective communication.

Choice C rationale:

Shaking the head no when responding to closed questions indicates disagreement or denial, which may hinder open communication.

Choice D rationale:

Waving the hands around when responding to questions can be a sign of agitation or excitement, which may not necessarily indicate willingness to communicate.