Which observation demonstrates a persistent negative symptom requiring nursing attention?

• A. Sits for hours without initiating activities
• B. Speaks to others in group sessions
• C. Volunteers for tasks
• D. Engages in multiple activities

Answer: (A)

Negative symptoms reflect a reduction in motivation and initiative. Sitting for hours without starting any activities shows avolition, a persistent lack of drive to initiate or sustain goal-directed behavior. This can lead to withdrawal from self-care, social interaction, and daily tasks, so it requires nursing attention to assess safety, provide support, and implement structured activities or rehab strategies. In contrast, engaging with others, volunteering for tasks, and participating in multiple activities indicate preserved motivation and functioning rather than a deficit, so they do not illustrate a persistent negative symptom.