A client with obsessive-compulsive personality disorder seeks ...

[sabina]

A client with obsessive-compulsive personality disorder seeks treatment for depression after the recent breakup of a relationship.
 
  The client constantly procrastinated about proposing marriage and said his girlfriend complained that he did not show her affection and that he was too controlling. Now he describes inability to sleep, poor concentration, and loss of energy since the breakup. Which outcome is a priority for the client? The client will:
  1. Demonstrate assertive behavior
  2. Express hope for developing a new relationship in the future
  3. Identify feelings of sadness related to the failed relationship
  4. List three new ways to reduce stress

Question 2

The mother of a 2-year-old tells the nurse at the well-child clinic that her child likes to take a blanket wherever he goes. The mother asks if she should take the blanket away from the child.
 
  The nurse counsels the mother to allow the child to have the blanket because it reminds him of his mother and comforts him. The basis for this counseling is:
  1. Mahler's theory of object relations
  2. Freud's developmental theory
  3. Kernberg's conceptualization object constancy
  4. Sullivan's theory of good me

[Anna]

Answer to Question 1

ANS: 3
Identifying feelings of sadness related to loss of the relationship will help him understand the meaning of the relationship and resolve the depression. This is the priority. The other options are of lesser importance at this time.

Answer to Question 2

ANS: 1
Mahler's theory of object relations suggests that the child at this age has a beginning sense of ob-ject constancy and can use a representation of the mother for comfort. The child may use a blan-ket or other object to remind himself of the mother. The other theories mentioned are not as clearly related as Mahler's.

[sabina]

TYSM

[shewald78]

Thanks for the timely response, appreciate it