Hugo has a fraternal twin named Franco who is unaffected by mental illness even though they were raised in the same dysfunctional household. Franco asks the nurse, 'Why Hugo and not me?' The nurse replies:

Correct Answer: B

Rationale: The correct answer is B because genetic vulnerability plays a significant role in mental illness. Hugo and Franco, being fraternal twins, may have different genetic predispositions. This means that Hugo may have inherited genetic factors that make him more susceptible to mental illness compared to Franco. Therefore, even though they were raised in the same dysfunctional household, Hugo's genetic vulnerability could be the reason for his mental illness. Choices A, C, and D are incorrect because they do not address the key factor of genetic vulnerability. Choice A suggests a different reason related to abuse by their father, choice C implies Franco's ignorance of the situation, and choice D refers to Hugo's coping mechanism rather than genetic predisposition.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges and validates the patient's feelings, demonstrating empathy and understanding. By acknowledging the pain of loneliness, the nurse shows support and compassion, which are essential in building a therapeutic relationship. Option B focuses on common interests, which may not address the patient's emotional needs. Option C shifts the focus to the nurse's interests, potentially dismissing the patient's feelings. Option D oversimplifies loneliness as solely needing social involvement, lacking the depth of emotional support required in a therapeutic relationship.

Correct Answer: C

Rationale: The correct answer is C: Boundary blurring. This situation reflects boundary blurring because Emily, as a nurse, is crossing professional boundaries by engaging in a personal and social relationship with Jenna, her patient. This can lead to ethical concerns, compromised therapeutic effectiveness, and potential harm to both parties. It is important for healthcare professionals to maintain clear boundaries to uphold professionalism, trust, and the therapeutic nature of the nurse-patient relationship. A: Successful termination is incorrect as it refers to the conclusion of the therapeutic relationship, which is not the case here. B: Promoting interdependence is incorrect as it involves fostering mutual reliance and support between individuals, which is not the focus of the situation described. D: A strong therapeutic relationship is incorrect as it describes a positive and therapeutic connection between a healthcare provider and patient, which is not the issue in this scenario due to boundary blurring.

Correct Answer: C

Rationale: The correct answer is C: Showing him which side of the room faces east. Hindus often prefer to pray facing east. By showing the patient which side of the room faces east, the nurse helps the patient maintain his religious practice. Assisting the patient to choose his own food (A) may be helpful but not specific to Hindu religious practices. Contacting the hospital pastor (B) is more suitable for Christian patients. Offering a Torah (D) is specific to Jewish religious practices and not relevant to a Hindu patient.

Correct Answer: C

Rationale: The correct answer is C because the nurse has violated confidentiality laws by sharing information about a patient's condition, even without using the patient's name. Patient confidentiality extends to all identifiable information, not just names. Sharing details about a patient's medical condition on social media breaches their right to privacy and confidentiality. The Health Insurance Portability and Accountability Act (HIPAA) strictly prohibits the disclosure of any identifiable patient information without authorization. Choices A, B, and D are incorrect because the absence of the patient's name does not exempt the nurse from maintaining confidentiality, being the primary nurse is not a determining factor for liability, and social media posts are not exempt from confidentiality laws.