A nurse is collecting data from a client who has schizophrenia. Which of the following client findings should the nurse document as a positive symptom of the disorder?

Choice A reason: Anhedonia, or the inability to experience pleasure, is considered a negative symptom of schizophrenia. Negative symptoms reflect a loss of normal functioning, such as reduced emotional expression or social withdrawal, rather than the presence of abnormal behaviors. Choice B reason: Dysphoria refers to a state of unease or dissatisfaction, often associated with mood disorders. While individuals with schizophrenia may experience dysphoria, it is not classified as a positive symptom. Choice C reason: Disorganized speech is a hallmark positive symptom of schizophrenia. Positive symptoms are characterized by the presence of abnormal behaviors, such as hallucinations, delusions, and disorganized thinking. Disorganized speech reflects thought disorder, where the client’s communication is fragmented, illogical, or incoherent. Choice D reason: Impaired judgment is a cognitive deficit that can occur in schizophrenia but is not categorized as a positive symptom. It reflects difficulties in decision-making and problem-solving rather than abnormal additions to behavior.