The nurse determines that a client with narcissistic personality ...

[nevelica]

The nurse determines that a client with narcissistic personality disorder has met a goal of treatment when:
 
  1. the client asks to watch TV after-hours.
  2. the client follows unit rules.
  3. the client enters the nurse's lounge.
  4. the client raids the unit refrigerator.

Question 2

The nurse is observing a client with a paranoid personality disorder interact with the client's partner. Which observation is consistent with this client's diagnosis?
 
  1. Has a loving relationship
  2. Appears concerned for the partner
  3. Makes plans with the partner
  4. Accuses the partner of duplicity

[al]

Answer to Question 1

Answer: 2

1. The narcissistic client is manipulative and believes in special privileges. Asking to watch TV after-hours is not meeting goals.
2. When the narcissistic client follows unit rules, the goal of treatment has been met.
3. The narcissistic client would see nothing wrong with entering the nurse's lounge, and would not be demonstrating good behavior by doing so.
4. Raiding the refrigerator would be considered a right by the narcissist and is inappropriate behavior.

Answer to Question 2

Answer: 4

1. The client with a paranoid personality does not form loving relationships.
2. A client who is paranoid is not capable of concern for another.
3. A paranoid client would not consider making plans and interacting with a partner.
4. The paranoid client would accuse the partner of some sort of conspiracy because of the inability to trust others.

[nevelica]

Gracias!

[dantucker]

Great answer, keep it coming