Which PD is characterized by grandiosity, fantasies of unlimited success, need for admiration, and lack of empathy?

• A. Histrionic
• B. Obsessive-Compulsive
• C. Narcissistic
• D. Avoidant

Answer: (C)

This item tests recognizing narcissistic personality disorder. The defining cluster includes a grandiose sense of self-importance and fantasies of unlimited power or success, along with a strong need for admiration and a marked lack of empathy for others. People with this pattern often believe they are special or superior, seek excessive praise, and have difficulty understanding or responding to others’ feelings, which fits the traits listed in the prompt.

In contrast, the other options center on different patterns: Histrionic personality features dramatic, attention-seeking behavior and shallow emotions but not the persistent grandiosity or lack of empathy; Obsessive-Compulsive personality involves perfectionism and rigidity; Avoidant personality involves social inhibition and hypersensitivity to rejection.