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. Ritualistic behavior: Ritualistic or repetitive behaviors are characteristic of obsessive-compulsive or obsessive-compulsive personality disorder, not narcissistic personality disorder. These behaviors reflect a need for control rather than grandiosity or self-centeredness. B. Preoccupied with aging: Clients with narcissistic personality disorder often exhibit preoccupation with self-image, physical appearance, and how aging affects their attractiveness or status. Concerns about aging align with the disorder’s core features of vanity and self-importance. C. Exhibits separation anxiety: Separation anxiety is typically observed in anxiety disorders, particularly in children, and is not a hallmark feature of narcissistic personality disorder, which centers on self-esteem regulation and interpersonal manipulation. D. Suspicious of others: Suspiciousness is more characteristic of paranoid personality disorder. While narcissistic clients may be sensitive to criticism, pervasive distrust of others is not a defining trait of narcissistic personality disorder.