Subjective assessment of the psychosocial state of a client who has experienced a spinal cord injury (SCI) can be best achieved when the nurse:

1. Asks the client to identify members of his support system.
2. Enters the room and finds the client crying.
3. Is told by the client that he was once treated for depression.
4. Overhears the client telling family that "this just isn't fair.".


Asks the client to identify members of his support system.

Rationale: Subjective assessment of a client's psychosocial state is best achieved by assessing the client's own perception of the presence of a support system. Crying is an objective sign. Expressing a feeling of unfairness relates more to the client's ability to cope. A history of depression is not necessarily proof of current depression.

Nursing

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