A nurse is collecting information from a client at a local clinic. The nurse should recognize that which of the following social determinants of health may affect this client's outcomes?

Rationale: A. While being bilingual can be an asset, success is influenced by multiple factors, and this statement oversimplifies outcomes. Social determinants of health focus on broader conditions that influence health, such as socioeconomic status, education, and environment, rather than assumptions about success based on parental background. B. Social activity alone does not determine health outcomes. Social determinants of health are related to systemic and environmental factors like access to healthcare, housing, nutrition, and safety, rather than social engagement alone. C. Poverty is a major social determinant of health. Limited financial resources can affect access to nutritious food, healthcare, safe housing, education, and opportunities for healthy lifestyle behaviors, making it harder to achieve optimal health outcomes. D. Environmental exposures, including toxic substances, unsafe neighborhoods, and violence, are critical social determinants of health. They increase the risk of chronic illness, injuries, stress-related conditions, and developmental problems, directly impacting health outcomes.