A nurse is performing an admission assessment on a client who has been diagnosed with schizophrenia. Which of the following findings should the nurse identify as a negative symptom?
Explanation & Rationale
Negative symptoms of schizophrenia are those that reflect a decrease or loss of normal functions. In the context of schizophrenia, waxy flexibility is a negative symptom where the patient exhibits decreased response to stimuli and a tendency to remain in an immobile, fixed posture. Patients with waxy flexibility may maintain whatever position they are placed in, which can be sustained for long periods. Choice A: Bizarre behavior Bizarre behavior is considered a positive symptom of schizophrenia. It includes unusual or odd actions that are not typically seen in healthy individuals. This can manifest as inappropriate or unpredictable behavior and is an excess or distortion of normal functions. Choice B: Waxy flexibility This is the correct answer. Waxy flexibility is a negative symptom of schizophrenia. It is characterized by a decrease in voluntary movement and an increase in passive obedience in maintaining a posture or position. It is not a productive symptom but rather a lack of normal behavior. Choice C: Somatic delusions Somatic delusions are a type of delusion that is classified as a positive symptom of schizophrenia. These delusions involve false beliefs about the body, such as thinking one has a serious disease or infestation when no medical evidence supports this. Choice D: Illogicality Illogicality is also a positive symptom of schizophrenia. It refers to a pattern of thinking that is disorganized and lacks the logical flow of thoughts. This can result in speech and behaviors that are difficult to understand and follow.