Which disorder within Cluster B is characterized by grandiosity, need for admiration, and lack of empathy?

• A. Histrionic
• B. Narcissistic
• C. Antisocial
• D. Avoidant

Answer: (B)

This item tests recognizing Narcissistic personality disorder, which is defined by a grandiose sense of self-importance, a constant need for admiration, and a lack of empathy. People with this pattern often overestimate their abilities or achievements, expect special treatment, and seek excessive praise to maintain their self-image. Their limited ability to consider others’ perspectives or needs is a defining feature, helping explain why these traits persist across different relationships and situations.

In contrast, other disorders in the same cluster emphasize different primary features: one involves excessive emotionality and attention-seeking, another centers on a pattern of disregard for others’ rights, and a third emphasizes social inhibition and sensitivity to rejection. None of these combinations centers on the trio of grandiosity, need for admiration, and lack of empathy the way Narcissistic personality disorder does.