The Real Housewives of New Jersey are back and things in the Garden State are not coming up roses. Questions as to Jacqueline's absence from the season three reunion are answered. Caroline struggles to fix her friendship with Teresa and receives a long-feared health diagnosis. Jacqueline's daughter, Ashley, has overstayed her welcome at home, resulting in a shocking ultimatum. Tempers flare between Teresa and her brother, Joe, when their families head down to the Jersey Shore. Melissa tries to bring her family back together, but hurtful accusations threaten to destroy her reputation and her marriage.