A 70-year-old client comes to the clinic with her daughter for ...

[bio_gurl]

A 70-year-old client comes to the clinic with her daughter for group therapy. The client wants the daughter to do everything with her, is afraid to be left alone, and is having difficulty making any decisions for herself.
 
  Interventions for this client would center around the diagnosis of which personality disorder?
 
  A) Narcissistic
  B) Dependent
  C) Antisocial
  D) Schizoid

Question 2

The nursetherapist is conducting a group therapy session in which one of the participants is a male adult who has been diagnosed with narcissistic personality disorder.
 
  The nurse recognizes the significance of childhood experiences in the etiology of personality disorders, which for this client may have included what pattern?
 
  A) The client's mother catered to his every need and the client used temper tantrums to successfully get his way.
  B) The client's parents had excessively high performance expectations of him and failure was met with severe sanctions.
  C) The client's father was a rigid disciplinarian who demanded complete subservience from both his son and the client's mother.
  D) The client's mother was in a constant state of crisis and depended heavily on her son for emotional support.

[Jane]

Answer to Question 1

Ans: B
Dependent personalities lack self-confidence and are unable to function in an independent role. Clients go to great lengths to seek nurturance and support from others. They experience difficulty in making everyday decisions and are preoccupied with fears of being left alone to care for themselves.

Answer to Question 2

Ans: A
Narcissistic personality disorder is characterized by an exaggerated sense of self-importance. It is plausible that a client's high degree of control and entitlement early in life may have contributed to or exacerbated such tendencies. The other patterns of interaction would not tend to promote entitlement or a grandiose self-view.

[bio_gurl]

TYSM

[patma1981]

Excellent