A mother discusses her concerns about genetic transmission of schizophrenia with the nurse say-ing, "My son is a fraternal twin. He has been diagnosed with schizophrenia. Will my other son develop schizophrenia, too?"
The response that is both sensitive and shows understanding of the genetic component is:
1. "You poor woman! I wish I could tell you he will be free of the disorder."
2. "Studies show that 50% of twins develop schizophrenia when it is present in the other twin."
3. "No one can say what will happen, so we will hope for the best for you and your sons."
4. "In fraternal twins, the chance of the other twin developing the disorder is quite small."
ANS: 4
Option 4 is a true statement and sensitively stated, whereas options 2 and 3 are not factual. Op-tion 1 demonstrates a sympathetic and therefore nontherapeutic response.
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