A nurse is caring for a client who has schizophrenia.
Nurses Notes
Day 1 1030
A 35-year-old client who has schizophrenia is admitted. Diagnosed 15 years ago Brought in by partner and states client has remained in room for the last several days and movements are delayed.
Day 1 1730
Client refuses to eat or drink. Client appears withdrawn and does not engage in conversation. Client has flat affect. Does not want to go to therapy session and wants to sleep. Clients movements are slow.
Select the “3” findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
A.
Blood pressure
B.
Lack of motivation
C.
Change in behaviour
D.
Lack of energy
E.
Withdrawn
In schizophrenia, negative symptoms refer to a decrease or loss in the ability to function normally. They often include a reduction in emotional expression, motivation, and social engagement. Based on the observations in the nurse’s notes, the following findings are indicative of negative symptoms related to schizophrenia:
B. Lack of motivation
D. Lack of energy
E. Withdrawn
Explanation:
- B. Lack of motivation: This is a classic negative symptom of schizophrenia, often manifesting as apathy or a lack of interest in engaging in activities, including self-care and therapy.
- D. Lack of energy: Reduced energy or a lack of vitality can be a negative symptom, affecting the client’s ability to engage in daily activities and maintain normal routines.
- E. Withdrawn: Social withdrawal and reduced interaction with others are common negative symptoms, reflecting a diminished ability to engage socially and emotionally.
- A. Blood pressure: This is not directly related to negative symptoms of schizophrenia. It is more relevant to physical health and other conditions.
- C. Change in behavior: While changes in behavior can be associated with schizophrenia, the specific changes described (e.g., refusal to eat, slow movements) align more with negative symptoms rather than general behavioral changes.
Therefore, the three findings indicating negative symptoms related to schizophrenia are:
B. Lack of motivation
D. Lack of energy
E. Withdrawn