A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?
A.
Suspicious of others
B.
Ritualistic behavior
C.
Preoccupied with aging
D.
Exhibits separation anxiety
The Correct answer and Explanation is:
The correct answer is C. Preoccupied with aging.
Explanation:
Narcissistic Personality Disorder (NPD) is characterized by a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy. Individuals with NPD often have a heightened sense of their own importance and a strong desire for admiration from others. They may exhibit behaviors and attitudes that reflect an exaggerated sense of self-worth, such as expecting special treatment and being preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
Option C: Preoccupied with aging is an expected finding in individuals with narcissistic personality disorder. People with NPD often place high importance on their physical appearance and maintain an idealized self-image. As they age, they may become increasingly preoccupied with maintaining their youthful appearance and status. This preoccupation is a reflection of their excessive focus on their own desirability and value, which is central to their disorder. The fear of aging can threaten their self-esteem and the idealized self-image they hold, leading to significant anxiety and concern.
Option A: Suspicious of others is more indicative of paranoid personality disorder. While individuals with NPD might have some interpersonal difficulties, their primary concern is usually related to their own self-image rather than a pervasive distrust of others.
Option B: Ritualistic behavior is characteristic of obsessive-compulsive personality disorder rather than NPD. Ritualistic behaviors and preoccupation with orderliness and control are not typical of narcissistic personality traits.
Option D: Exhibits separation anxiety is generally associated with anxiety disorders and attachment issues rather than narcissistic personality disorder. Individuals with NPD are more focused on themselves and their image rather than experiencing separation anxiety.
Understanding these nuances helps in accurately assessing and differentiating personality disorders, ensuring that individuals receive appropriate interventions and support tailored to their specific needs.