Of the following, the client MOST likely to develop narcissistic ...

[Charlie]

Of the following, the client MOST likely to develop narcissistic personality disorder is the:
 
  a. female with unstable, chaotic family; comorbid depression; and substance abuse
  b. male with familial adoration, expectation to be perfect, and a rigid personality
  c. female with familial valuing of appearance and comorbid somatization disorder
  d. male with violent, neglectful family, and who meets criteria for adolescent conduct disorder

Question 2

You are working with a client who becomes upset one day and tells you, I've decided just to give up on finishing the nursing program; it's too much. The BEST response from the nurse would be:
 
  a. It is probably too much for you to handle right now.
  b. You think it's too much for you?
  c. I am sure you are capable of finishing the nursing program.
  d. You don't need to make a decision about that right now.

[dyrone]

Answer to Question 1

B
A male with familial adoration, expectation to be perfect, and rigid personality is most likely to develop narcissistic personality disorder. The developmental history of persons with narcissistic personality disorder typically shows a pattern of selfless love and adoration from a significant adult. At the same time, the child experiences an ever-present threat to criticism for not being perfect. The individual appears arrogant, conceited, insensitive and ruthless. While the personality structure is stable, it is very rigid.

Answer to Question 2

B
The best response to the client's statement is to say, You think it's too much for you? In this situation, the nurse is using the therapeutic communication technique of restating, Restating is a technique whereby the nurse repeats the main message the client has expressed. Restating, also called paraphrasing, permits the nurse to verify understanding of the client's message and also permits the client to reflect on the statement and emotion expressed. The other options are nontherapeutic and may create barriers to further communication with the client.

[Charlie]

Wow, this really help

[sailorcrescent]

Thanks for the timely response, appreciate it