I believe that the answers are A and B.
Number one is the correct answer
If I was the nurse I would say
“ your primary healthcare provider has most likely asked you to stop drinking because while it might not have caused a problem yet the effect of drinking 4 glasses of whiskey a day for 20+ years add up over time and could cause serious health issues in the future”
Self-actualization is where an individual reaches one's fullest potential.
It is monitoring one's highest potential self-actualization and can be similar towards like self-realization, self-exploration, self-reflection, and self-discovery.
The tendency towards self-actualization is only drive by which the life of an organism is being determined. Self-actualization cannot be understood as a good to be reached in future.
So Sam has the disorder and one of his parents are likely the carrier since Sam is their son. That’s all I can provide since that’s all the info I was given.