A skilled nursing facilitty receives a patient satisfaction score of 4.3 out of 5 for patient discharge instructions. The standard average patient satisfaction score is 4.2 out of 5 for snfs in the market area while the national average is 4.9. Which problem can be determined from this information? 1) the discharge instructions fail to meet the needs of the patient. 2) the patient satisfaction scores for patient discharge instructions should be higher. 3) THe patient satisfaction scores are incapable of assessing discharge instructions. 4) the discahrge instructions should be evaluated using a compliance measure.