A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?
Explanation & Rationale
Choice A reason: Preoccupation with washing and folding clothes may suggest obsessive-compulsive tendencies, but it is not a positive symptom of schizophrenia. Positive symptoms involve the addition of abnormal behaviors such as hallucinations or disorganized speech. Choice B reason: Inventing words that have no meaning, known as neologisms, is a positive symptom of schizophrenia. Positive symptoms include hallucinations, delusions, disorganized speech, and bizarre behaviors. Neologisms reflect disorganized thought processes. Choice C reason: Recurrent thoughts of past trauma are more consistent with posttraumatic stress disorder (PTSD), not schizophrenia. Choice D reason: Avoiding interactions with staff and peers is a negative symptom of schizophrenia, reflecting social withdrawal. Positive symptoms involve the presence of abnormal behaviors, not the absence of normal ones.