A woman, age 22, is driving to the beach for a bachelorette party for her friend who's getting married the following weekend. She's running late, and the bride has texted her twice. As she is crossing a busy bridge over an inlet, she is answering a text when she almost drops the phone. Jerking slightly to catch it, she inadvertently turns the wheel and her car swerves and hits a bicyclist, who, along with his bike, is thrown over the rail into the bay and is killed. The woman makes it through the police interview, the ticketing, and the ambulance once-over (she is uninjured). An officer suggests she call someone to come drive home with her, but instead, after everyone leaves, she drives on to the beach party. Over the next few days, when she tells her story, she smiles and even makes a few self-deprecating jokes. But on the one-week anniversary of the accident, she experiences severe weakness and tremors in both hands. She is tested at a neurology clinic where results indicate that the weakness and tremors are real, but no neurological or physiological cause can be determined. She is referred to a therapist and after four cancellations, her mother goes to her apartment and finds she has taken a significant number of sleeping capsules. The mother calls an ambulance and after being treated in the ED for the overdose, the patient is admitted to the psychiatric unit and assessment begins. Her mother has already told a nurse that her daughter has a history of intermittent bouts of depression with chronic self-deprecation and low self-esteem.

Choose the most likely options to complete the statement below.

This patient's descriptions of the accident with smiling and a little self-deprecating humor are most likely indicative of ______, while her new weakness and tremors suggest _________. During her unit intake, the nurse recognizes that a priority need is to assess this patient for ________.