DSSSB 12 August 2024
Mental Health Nursing
Easy
All of the following are included in Cluster B personality disorders, EXCEPT:
Appeared in: DSSSB 12 August 2024
Explanation
- Dependent Personality Disorder is the correct answer because it is classified under Cluster C, not Cluster B.
- Cluster C personality disorders are characterized by anxious and fearful traits.
- Individuals with Dependent Personality Disorder exhibit a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation.
- The other three options (Narcissistic, Antisocial, Histrionic) are all correctly classified within Cluster B.
Why Other Options Were Wrong
- Option A: Narcissistic Personality Disorder is a core member of Cluster B. It is characterized by a pattern of grandiosity, a need for admiration, and a lack of empathy.
- Option B: Antisocial Personality Disorder is a classic Cluster B disorder. It is characterized by a pervasive pattern of disregard for and violation of the rights of others.
- Option C: Histrionic Personality Disorder is a key component of Cluster B. It is characterized by a pattern of excessive emotionality and attention-seeking.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of personality disorders according to DSM-5 criteria as background academic context rather than a clinical decision trigger.
- Understanding the clustering of personality disorders helps nurses and clinicians anticipate patient behaviors, establish therapeutic boundaries, and tailor communication strategies.
- For a patient with a Cluster B disorder, a nurse might need to be firm and consistent with boundaries, whereas for a Cluster C patient, the focus might be on reassurance and building self-confidence.
- Recognizing the cluster can guide the multidisciplinary team in developing a more effective and holistic care plan.
How to Approach the Question
- First, identify the core of the question: it asks for the 'exception' among a list related to 'Cluster B personality disorders'.
- Recall the three clusters of personality disorders as defined by the DSM-5: Cluster A (Odd/Eccentric), Cluster B (Dramatic/Erratic), and Cluster C (Anxious/Fearful).
- Mentally list or write down the disorders belonging to each cluster.
- Go through each option and categorize it into its respective cluster.
- Option A (Narcissistic), B (Antisocial), and C (Histrionic) all fit into Cluster B.
- Option D (Dependent) fits into Cluster C. Since the question asks for the one that is NOT in Cluster B, this is the correct answer.
Concept Tested & Keywords
- Concept Tested: Classification of personality disorders according to DSM-5 criteria.
- Stem keywords: Personality disorders, Cluster B
- Lead-in keywords: EXCEPT
- Negative lead-in flag: The question asks for the option that is an EXCEPTION.
Question ID
qS8MJKlkeZvg1aOgWxFNz
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15687-15689
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1777-1779
Practise the full DSSSB 12 August 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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