How to deal with narcissistic client?

I don't understand the question. Maybe your client is lonely and wants company more than they want something done for them. I don't think that is being narcissistic.

Just tell them you are there to perform certain tasks. Anything else needs to be done by them or family. Lets say your time is 6 hours and you are done what ur suppose to do, u could help out in other areas.

Give your client 2 choices for what you need done; either of which are acceptable and appropriate to you. If your client stonewalls, explain you'll be back when he/she makes a choice. Your client's personality wants attention; you want task results. It's a quid-pro-quo with the only negotiation being your 2 choices, allowing him/her with the illusion of control, although in truth you are in control. Ultimately, perhaps the client is not a healthy candidate for care.