Which of the following would the nurse associate with the paranoid symptoms of schizophrenia?

A nurse is caring for a client who is experiencing a flat affect, paranoid delusions, anhedonia, anergia, neologisms, and echolalia. Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia?

A. Paranoid delusions, anhedonia, and anergia are positive symptoms of schizophrenia.
B. Paranoid delusions, neologisms, and echolalia are positive symptoms of schizophrenia.
C. Paranoid delusions, anergia, and echolalia are negative symptoms of schizophrenia.
D. Paranoid delusions, flat affect, and anhedonia are negative symptoms of schizophrenia.

ANS: A, B, D, E
The nurse should recognize that group therapy, medication management, supportive family therapy, and social skills training all play an integral part in rehabilitative programs for clients diagnosed with schizophrenia. Schizophrenia results from various combinations of genetic predispositions, biochemical dysfunctions, physiological factors, and psychological stress. Effective treatment requires a comprehensive, multidisciplinary effort.

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