A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?

Rationale: A. Ritualistic behavior: Ritualistic or compulsive behaviors are most commonly associated with obsessive-compulsive personality disorder or obsessive-compulsive disorder, not narcissistic personality disorder. B. Suspicious of others: Suspiciousness and distrust are hallmark features of paranoid personality disorder. While individuals with narcissistic traits may be sensitive to criticism, they are not generally suspicious in a paranoid sense. C. Exhibits separation anxiety: Separation anxiety and fear of being alone are typically seen in dependent personality disorder and sometimes borderline personality disorder, not narcissistic personality disorder. D. Preoccupied with aging: Clients with narcissistic personality disorder are often highly concerned with maintaining a youthful and admired image. They may fear aging due to its association with loss of beauty, status, or power, making this the expected finding.