— 心理社會完整性 · HARD · MCQ —
護理師評估一位思覺失調症的病人，下列何者屬於該疾病的「負性症狀」？
A nurse is evaluating a client diagnosed with schizophrenia. Which symptom is classified as a 'negative symptom' of the disorder?
- ADisorganized speech言語組織紊亂
- BAvolition✓ 正解意志減退
- CDelusions of grandeur自大妄想
- DAuditory hallucinations聽覺幻覺
— Explanation · 中文詳解 —
思覺失調症症狀分為正性（多出來的）與負性（缺少的）。D、C、A 屬於正性症狀（幻覺、妄想、語句混亂）。B 意志減退（Avolition）屬於負性症狀，表現為缺乏動力、社會退縮與情感平淡，此類症狀通常對抗精神病藥物治療反應較差。
Symptoms of schizophrenia are classified as positive (added) and negative (lacking). Options D, C, and A are positive symptoms (hallucinations, delusions, disorganized speech). Option B, avolition, is a negative symptom that manifests as lack of motivation, social withdrawal, and flat affect; these symptoms typically respond less well to antipsychotic medications.
✦ 台美臨床差異
台灣臨床強調透過精神科社區復健協助負性症狀病人重建社交能力。