A patient is brought into the emergency department with a gunshot wound obtained

It's a toss up between 1 and 4, but I would first go with 4.

1 -- Rationale 1: Because drug users are often rebellious against social norms and engage in risky behaviors such as stealing, the nurse should assess the patient for drug and alcohol abuse.
Rationale 2: Cardiovascular disease is not usually manifested by engagement in risk-taking behavior.
Rationale 3: Respiratory disease is not usually manifested by engagement in risk-taking behavior.
Rationale 4: The patient may or may not have a mental health disorder. This type of disorder might be assessed while assessing for drug and alcohol abuse.
Global Rationale: Because drug users are often rebellious against social norms and engage in risky behaviors such as stealing, the nurse should assess the patient for drug and alcohol abuse. Cardiovascular disease and respiratory disease are not usually manifested by engagement in risk-taking behavior. The patient may or may not have a mental health disorder. This type of disorder might be assessed while assessing for drug and alcohol abuse.