Question

You are working on impatient psychiatric unit and need to do initial assessment of Richard Brown who has just been admitted . He has a diagnosis of schizophrenia , paranoid type . He is 22 years old and has been attending the local university while living out home with his parents . He has always been a good student and was active socially .

Last semester his grades began declining and he became very withdrawn . He spends most of his time alone in his room . His grooming has deteriorated , he can go days without bathing . For several weeks before admission , he insisted on keeping all the blinds and curtains in the house closed .

He refuses to join family gatherings and games . For the past 2 days he has refused to eat saying : “They have contaminated the food “ . As you approach RB , you note that he appears to be carrying on a conversation with someone , but there is no one there . When you talk to him , he looks around and answers in a whisper , but give you little information , he stated” They are watching me and told me not to cooperate . “

1. Identify all negative symptoms of schizophrenia RB is experiencing

2. Identify all positive symptoms of schizophrenia RB may be experiencing .

Answer 1

Answer:The negative symptoms of schizophrenia RB is experiencing hallucination, he is talking in his imagination. He is having delusions, hallucinations, suspiciousness, disorganized thinking. The loss of motivation, lack of social interest, and inattention to social gathering are the negative symptoms. The positive symptoms Rb may be experiencing i.e. hearing problem, unable to speak properly and fail to express the feelings and emotions.