A nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

A. People diagnosed with schizophrenia are more violent than others: Individuals with schizophrenia are not inherently more violent than the general population. The majority are not violent and are often more likely to be victims rather than perpetrators of violence.
B. Biologically female clients are likely to be diagnosed earlier than biologically born males: Research indicates that biologically male clients often present with symptoms earlier than females.
C. Biologically male clients are typically diagnosed earlier than biologically female clients: Research shows that males tend to exhibit the onset of schizophrenia earlier, usually in late adolescence to early adulthood, whereas females may experience a later onset, often in their 20s or 30s.
D. Diagnosis commonly occurs in individuals under the age of 12: Schizophrenia is rare in children under 12 years of age, and diagnosis typically occurs in late adolescence or early adulthood. Early-onset schizophrenia is uncommon, and most cases are diagnosed after the age of 12.

A. Blood pressure: The blood pressure reading of 132/38 mm Hg is noteworthy, particularly the low diastolic value, but it does not specifically indicate negative symptoms of schizophrenia. It may require further monitoring, but it is not a direct reflection of the negative symptomatology.
B. Lack of motivation: The client's refusal to eat, drink, or participate in therapy sessions indicates a lack of motivation, which is a classic negative symptom of schizophrenia. This symptom reflects diminished drive and engagement in everyday activities.
C. Change in behavior: The client's prolonged withdrawal and limited interaction with others are significant changes from their previous functioning and can be considered negative symptoms. These changes often manifest as a decrease in social interaction and activities.
D. Lack of energy: While the client appears to have slow movements and may seem fatigued, "lack of energy" is a vague term. However, the slowed movements can indicate negative symptoms associated with schizophrenia. The more specific term would be lack of motivation or social withdrawal.
E. Withdrawn: The client's withdrawal from social interactions and activities is a clear indicator of negative symptoms. This behavior demonstrates a lack of interest in engaging with others and reflects the emotional and social deficits often seen in schizophrenia.