The nurse is admitting a client with schizophrenia. The client is extremely socially withdrawn, is unable to perform activities of daily living, has an inappropriate affect, and has grimacing mannerisms. The nurse understands that this client is experiencing which type of schizophrenia?

  1. residual schizophrenia
  2. paranoid schizophrenia
  3. catatonic schizophrenia
  4. disorganized schizophrenia
  5. undifferentiated schizophrenia
Number 4 is correct.
Rationale: Characteristics of disorganized schizophrenia include extreme social withdrawal, inability to perform activities of daily living, inappropriate affect, and grimacing mannerisms. Residual schizophrenia is characterized by being diagnosed with schizophrenia in the past, extreme social isolation, and impaired role functioning. Several years may pass between episodes. Paranoid schizophrenia includes hostility, delusions, violence, persecutory themes, and suspiciousness. Clients with catatonic schizophrenia experience waxy flexibility, psychomotor disturbances, stupor, and excessive purposeless motor activity. They may also be automatically obedient to directions and exhibit stereotypical or repetitive behaviors. Undifferentiated schizophrenia does not meet the definition of paranoid, disorganized, or catatonic schizophrenia. It is characterized by disorganized speech, delusions and hallucinations, flat affect, social withdrawal, and catatonic or disorganized behavior.