Distinguishing diagnosis mental and organic and patient Riots with the symptoms that if adqem to the esquizofrnicos, that arrive at it I medicate with history of previous episodes of positive symptoms, dficits if they fit without doubts in the picture of esquizofrnicos. the cases of first psychotic episode initiate recent and necessary to exclude possible organic causes underlying to the esquizofrnicos symptoms (ALMEIDA, DRACTU and LARANJEIRA 1996). The distinguishing diagnosis is task of the psychiatrist, includes an interview detailed and psychiatric examination. The occurrence of at least two symptoms as deliriums, hallucinations, speaks disorganized, negative symptoms or behavior modified during one month, continuing in elapsing of six messes characterizes schizophrenia (FIGUEIREDO, VIANA and AXE 2009). According to Figueiredo, Viana and Machado (P.
404, 2009) ‘ ‘ They use examinations as eletroencefalograma (EEC), magnetic resonance (RM) or computerized cat scan (TC), that they demonstrate the cerebral structure and they assist in diagnstico’ ‘. Diagnosis of Nursing the diagnosis of nursing and great importance in I foretell and treatment to it of the patient with schizophrenia.