Final answer:
The combination of high narcissism and high self-esteem typically results in an inflated sense of self-importance, which may lead to an unrealistic sense of one's capabilities and entitlement.
Step-by-step explanation:
When considering what is the result of combining high narcissism and high self-esteem, it's important to understand the definitions of both terms. Narcissism involves an excessive focus on oneself, a high need for admiration, and a lack of empathy for others. Self-esteem refers to one's overall sense of self-worth or personal value. When someone has high levels of both, this often leads to an inflated sense of self-importance, which can manifest as an unrealistic perception of one’s abilities and entitlement to special treatment. Although one might expect high self-esteem to contribute to a positive self-image, when paired with high narcissism, it tends to skew towards self-centeredness and a lack of consideration for others. This combination aligns more with option 3: An inflated sense of self-importance, rather than a balanced self-perception or a solely positive or negative self-image.