Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Mental Health Nursing
Easy
Schizotypal disorder is characterized by:
Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Explanation
- Schizotypal Personality Disorder (STPD) is a Cluster A (odd, eccentric) disorder.
- A core diagnostic criterion for STPD is a pervasive pattern of social and interpersonal deficits.
- This manifests as intense social anxiety that does not diminish with familiarity.
- The anxiety is typically rooted in paranoid fears and suspiciousness, rather than a fear of negative judgment from others.
Why Other Options Were Wrong
- Option B: Manic attacks, characterized by periods of elevated mood, energy, and activity, are the hallmark symptom of Bipolar I Disorder.
- Option C: While individuals with STPD may have co-occurring depression and suicidal ideation, it is not a primary, defining diagnostic criterion for the disorder itself.
- Option D: Persistent, frank hallucinations are a primary positive symptom of Schizophrenia. STPD is characterized by milder perceptual distortions or illusions, not full-blown hallucinations.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The primary characteristics and diagnostic criteria of Schizotypal Personality Disorder (STPD) as background academic context rather than a clinical decision trigger.
- Nurses caring for patients with STPD must adopt a patient, honest, and non-judgmental approach to build trust, as these individuals are often suspicious and anxious in social interactions.
- Establishing a therapeutic relationship can be challenging. Use a straightforward communication style, respecting the patient's need for personal space and avoiding overly warm or familiar approaches that might increase their paranoia.
- What if? If a patient's social avoidance was driven primarily by a fear of being embarrassed or judged negatively, the diagnosis would more likely be Avoidant Personality Disorder (Cluster C), not Schizotypal Personality Disorder.
How to Approach the Question
- First, identify the core concept of the question, which is the defining characteristics of 'Schizotypal disorder'.
- Recall that Schizotypal PD is a Cluster A personality disorder, known for odd and eccentric traits.
- Systematically evaluate each option based on the diagnostic criteria for STPD.
- Option A: 'Severe social anxiety' is a known core feature of STPD, often linked to paranoia.
- Option B: 'Manic attacks' are the hallmark of Bipolar Disorder. Eliminate this option.
- Option D: 'Hallucinations' are a primary symptom of Schizophrenia. STPD involves lesser perceptual disturbances. Eliminate this option.
Concept Tested & Keywords
- Concept Tested: The primary characteristics and diagnostic criteria of Schizotypal Personality Disorder (STPD).
- Stem keywords: Schizotypal disorder, characterized by
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Q7EQLzx67AanSU-AU4i70
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) pp. 7195-7197, 5217-5219
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1785-1787
Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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