A client exhibits dependency on staff and peers and expresses ...

[Diane]

A client exhibits dependency on staff and peers and expresses fear of abandonment. Using Mahler's theory of object relations, which should the nurse expect to note in this client's childhood?
 
  A. Lack of fulfillment of basic needs by parental figures
  B. Absence of the client's maternal figure during symbiosis
  C. Difficulty establishing trust with the maternal figure
  D. Inconsistency by the maternal figure during individuation

Question 2

Which reaction to a compliment from another client should a nurse identify as a typical response from a client diagnosed with avoidant personality disorder?
 
  A. Interpreting the compliment as a secret code used to increase personal power
  B. Feeling the compliment was well deserved
  C. Being grateful for the compliment but fearing later rejection and humiliation
  D. Wondering what deep meaning and purpose are attached to the compliment

[lgoldst9]

Answer to Question 1

ANS: D
During phase 3 (5 to 36 months) of Margaret Mahler's individuation theory, there should be a strengthening of the ego and an acceptance of self with independent ego boundaries. Inconsistency by the maternal figure during individuation may in later years result in feelings of helplessness when the client is alone because of exaggerated fears of being unable to care for self.

Answer to Question 2

ANS: C
The nurse should identify that a client diagnosed with avoidant personality disorder would be grateful for the comment but would fear later rejection and humiliation. Individuals with avoidant personality disorder are extremely sensitive to rejection and are often awkward and uncomfortable in social situations.

[Diane]

Thanks for the timely response, appreciate it

[elyse44]

Excellent