35. Which clinical manifestations should a nurse recognize as being related to the "negative" symptoms associated with a schizophrenic client? Select all that apply.
Test-Taking Tip
Remember: positive symptoms are behaviors that are added on to the client and negative symptoms are those that taken away.
Content Area: Mental Health, Schizophrenia; Integrated Process: Nursing Process, Assessment; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
.
.
Answer 1 is correct because the client with negative symptoms has diminished functions systematically (e.g., withdrawn, mute, and psychomotor retardation) and a flattened or inappropriate affect. Answer 2 is incorrect because this is a clinical manifestation of positive symptoms (e.g., inappropriate and bizarre verbal communication). Answer 3 is incorrect because inappropriate behaviors (e.g., an excess of normal behaviors) are clinical manifestations of positive symptoms. Answer 4 is correct because the client is exhibiting negative symptoms, which include poor eye contact. Answer 5 is incorrect because excessive delusional thoughts (e.g., the client may believe himself or herself to be afflicted with a terminal illness when there is no medical evidence) are clinical manifestations of positive symptoms related to schizophrenia.