The nurse–therapist is conducting a group therapy session in which one of the participants is a male adult who has been diagnosed with narcissistic personality disorder

Question

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.

Answer 1

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.