UP CHO - 10 September 2021
Mental Health Nursing
Easy
Which of the following is an example of negative symptoms of schizophrenia?
Appeared in: UP CHO - 10 September 2021
Explanation
- Negative symptoms are defined by the absence or reduction of normal functions such as thought, emotion, and motivation.
- Examples include alogia (poverty of speech), avolition (lack of motivation), anhedonia (inability to experience pleasure), affective flattening (reduced emotional expression), and asociality (social withdrawal).
- The phrase 'lack of thought, feeling, and behavior' directly describes negative symptoms.
- Negative symptoms are persistent and lead to significant functional impairment.
- Key differentiator: Negative symptoms are about what is missing, not what is added.
Why Other Options Were Wrong
- Option A: Describes persecutory delusions, which are positive symptoms (added abnormal experiences).
- Option B: Describes disorganized or catatonic behavior, which is a positive symptom (added abnormal movement or behavior).
- Option D: Describes positive symptoms, which are characterized by an excess or distortion of normal functions.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of negative symptoms in schizophrenia as background academic context rather than a clinical decision trigger.
- Recognizing negative symptoms is crucial for early diagnosis and management of schizophrenia, as they often predict long-term disability.
- Negative symptoms are less responsive to antipsychotic medications compared to positive symptoms, requiring comprehensive psychosocial interventions.
- What if? If the patient instead showed hallucinations or delusions, the focus would shift to managing positive symptoms, often with different medication strategies.
How to Approach the Question
- Identify whether the question asks about positive or negative symptoms.
- Recall that negative symptoms involve a loss or reduction of normal functions (thought, emotion, motivation).
- Match each option to either a deficit (negative) or an excess/distortion (positive) of function.
- Eliminate options describing added abnormal experiences or behaviors (positive symptoms).
- Select the option that best describes a lack or absence of normal psychological functions.
Concept Tested & Keywords
- Concept Tested: Identification of negative symptoms in schizophrenia
- Stem keywords: negative symptoms, schizophrenia
- Lead-in keywords: example
Question ID
Q5AHFyXmRHzLhn3GyyWd-Q
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1097-1099
E6 Psychology Baron Misra 5e Part 2 p. 187-189
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 4730-4732
Practise the full UP CHO - 10 September 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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