(5 - 3) |p + 4| ≤ - 10
=> (2) |p + 4| ≤ - 10
=> | p -4 | ≤ 10 / 2
=> | p - 4 | ≤ 5
=> (p + 4) ≤ - 5 and -(p+4) ≤ - 5
- (p + 4) ≤ - 5 is equivalent to p + 4 ≥ 5
So, the answer is p + 4 ≤ - 5 and p + 4 ≥ 5. That is the fourth option
p + 4 ≥ 5 AND p + 4 ≤ -5.