The nurse is assessing the psychosocial status of a patient who experienced a spinal cord injury. What would provide the best subjective evidence of the patient's state of mind?

1. The nurse asks the patient to identify members of his support system.
2. The patient says, "I would enjoy some fast food for lunch.".
3. The nurse enters the room and finds the patient crying.
4. The patient tells the nurse he was once treated for depression.


1
Rationale 1: Assessment of a patient's psychosocial state is best achieved by assessing the patient's own perception of the presence of a support system.
Rationale 2: It is possible that asking for food that the patient would "enjoy" reflects a positive psychosocial state. However, there could be many reasons for this statement. It is not the best subjective assessment.
Rationale 3: Crying is an objective sign.
Rationale 4: A history of depression is not necessarily proof of current depression.

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