A client with chronic schizophrenia is taking an atypical antipsychotic. Which observation would most suggest a reduction in negative symptoms?

A client with chronic schizophrenia is taking an atypical antipsychotic. Which observation would most suggest a reduction in negative symptoms?

• A. We walked together for 15 minutes, and I could see no evidence he was 'hearing voices'.
• B. For the past week, he has gotten up, dressed, and taken a walk early each morning.
• C. It's been more than a month since he said that he is the King of England.
• D. I've noticed that his thoughts are better organized.

Answer: (B)

Reduction in negative symptoms shows up as increased motivation and daily functioning, not just relief of hallucinations or delusions. Getting up, dressed, and taking a walk in the morning demonstrates initiating activity, maintaining a routine, and engaging in self-care—clear signs of improved motivation and diminished apathy. The other observations reflect changes in positive symptoms (such as absence of voices or persistent delusions) or general thought organization, which don’t illustrate the same level of functional improvement. So this morning routine is the best indicator of reduced negative symptoms.

Reduction in negative symptoms shows up as increased motivation and daily functioning, not just relief of hallucinations or delusions. Getting up, dressed, and taking a walk in the morning demonstrates initiating activity, maintaining a routine, and engaging in self-care—clear signs of improved motivation and diminished apathy. The other observations reflect changes in positive symptoms (such as absence of voices or persistent delusions) or general thought organization, which don’t illustrate the same level of functional improvement. So this morning routine is the best indicator of reduced negative symptoms.