A nurse is caring for a client who has chronic arthritis. Which of the following could impact the client's economic stability?

A. Clients with disabilities often cannot be insured.: Current healthcare regulations generally prohibit insurance companies from denying coverage based on pre-existing disabilities or chronic conditions. While insurance premiums may be high, the total lack of insurance is not the standard clinical expectation in modern healthcare systems. Economic instability is more directly linked to out-of-pocket costs rather than an absolute inability to obtain a policy. B. The client might have a cognitive impairment, and thus be unable to balance their checkbook.: Arthritis is a musculoskeletal disorder characterized by joint inflammation and does not inherently involve neurocognitive decline or impaired financial literacy. While comorbid conditions can exist, the primary pathology of arthritis does not explain an inability to manage personal finances. Economic stability in this context is threatened by external costs rather than cognitive failure. C. The client is working part-time as a seasonal employee.: Seasonal employment provides inconsistent income, but for a client with a chronic illness, the primary economic threat is the continuous cost of medical management. While job status affects income, it does not specifically address the financial burden created by the disease itself. The high cost of medical maintenance often outweighs the impact of employment type alone. D. The client's arthritis medications are very expensive.: Chronic arthritis management often requires biological response modifiers or long-term pharmaceutical interventions that carry significant financial costs. These recurring expenses can deplete savings and divert funds from essential needs like housing or nutrition. The high cost of specialized medications is a direct social determinant that destabilizes the client's economic security.