After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?

Correct Answer: A

Rationale: Rationale for Correct Answer (A): 1. Genetics play a significant role in suicide risk, as studies have shown a hereditary component. 2. Identical twins share 100% of their genes, making the other twin more vulnerable. 3. Monitoring and support can help identify warning signs and provide necessary interventions. 4. Proactive measures can reduce the risk of suicide in the remaining twin. Summary of Incorrect Choices: B: Apathy is not the primary cause of suicide, and motivation alone is not a comprehensive solution. C: Identifying with a suicide victim may increase the risk of suicidal behavior in the other twin. D: Fraternal twins share only 50% of their genes, so they do not have the same high genetic risk as identical twins.

Correct Answer: B

Rationale: The correct answer is B because it prioritizes safety and de-escalation by having multiple staff members present for support while maintaining a calm and respectful tone. This approach aims to minimize confrontation and coercion, promoting a collaborative environment. Option A lacks support from additional staff and may not adequately address the patient's escalating behavior. Option C involves physical restraint, which should be avoided unless absolutely necessary for safety. Option D introduces a security guard, potentially escalating the situation and may be perceived as threatening by the patient. Overall, option B is the most appropriate and therapeutic approach in this scenario.

Correct Answer: A

Rationale: Rationale: 1. Anticipatory grieving is appropriate as the patient is already preparing for the loss. 2. Ineffective coping is not the best choice as the patient is not actively avoiding dealing with the situation. 3. Ineffective denial is not applicable as the patient is acknowledging the situation openly. 4. Spiritual distress does not directly address the patient's emotional response to the cancer diagnosis.

Correct Answer: D

Rationale: The correct answer is D because throwing flowers on the lake at each anniversary date indicates a healthy way of mourning by honoring and remembering the child in a positive and symbolic manner. It shows an active and ongoing effort to pay tribute to the deceased child while also finding closure. A: Forbidding other children from swimming may indicate overprotectiveness or fear rather than effective mourning. B: Keeping a place set for the deceased child at the dinner table could be a constant reminder and hinder the mourning process by not allowing for acceptance and moving on. C: Sealing the child's room exactly as it was could prevent the parents from processing their grief and moving forward in a healthy manner. In summary, choice D is the most effective way of mourning as it allows for remembrance, closure, and honoring the deceased child without hindering the grieving process.

Correct Answer: C

Rationale: The correct answer is C because repeating the story and her feelings is a helpful and necessary part of the grieving process. It allows the widow to process her emotions and come to terms with her loss. By actively listening to her and providing support, the family can help her cope with her grief. Option A is incorrect because asking the widow not to retell the story may hinder her grieving process. Option B is incorrect as limiting the retelling could suppress her emotions. Option D is incorrect as retelling memories in this context is more about grieving the loss of a loved one rather than a part of the aging process.