The nurse is caring for a client with narcissistic personality disorder.
Which of the following statements by the client indicates a favorable response to the treatment plan?
The nurse is caring for a client with narcissistic personality disorder.
Which of the following statements by the client indicates a favorable response to the treatment plan?
A. “I focus on myself because other people let me down.”
[6%]
B. "I am not sure what self-awareness will teach me."
[1%]
C. “I’m starting to understand how my behavior affects those around me.”
[87%]
D. “I’ve already figured everything out on my own without therapy.”
[6%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Coping Mechanisms
Item Type
Item Type
Application
Explanation
Choice C is correct. This statement reflects emerging insight, self-reflection, and the beginnings of empathy, all of which are therapeutic goals in the treatment of narcissistic personality disorder. This is a strong indicator of favorable progress in therapy.
Choice A is incorrect. Although this reflects a common narcissistic defense, it indicates continued externalization of blame and poor interpersonal accountability—signs of limited treatment progress.
Choice B is incorrect. This response reflects resistance to therapy and a lack of engagement in the treatment process. Self-awareness is a foundational therapeutic goal in the treatment of personality disorders, especially NPD.
Choice D is incorrect. This statement reflects grandiosity, resistance to feedback, and denial of the need for help—all classic characteristics of narcissistic personality disorder. The client minimizes therapy's value and overestimates their capacity for insight and growth.
Related Videos
2 Key Topics
Personality Disorders
32.3 Major Psychiatric Disorders
Additional Info
Core Features of Narcistic Personality Disorder
✓ Grandiosity
✓ Need for Admiration
✓ Lack of Empathy
✓ Arrogant or Haughty Behavior
✓ Fragile Self-Esteem
