A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?
Explanation & Rationale
A. "Clients who have this disorder consciously control the manifestations." Functional neurological symptom disorder (formerly conversion disorder) involves involuntary neurological symptoms, such as paralysis, blindness, or seizures, that lack a medical explanation. Clients do not consciously produce or control these symptoms. B. "Clients who have this disorder exhibit more than one personality." Multiple personalities are characteristic of dissociative identity disorder (DID), not functional neurological symptom disorder. Clients with functional neurological symptom disorder experience physical symptoms, not identity fragmentation. C. "Feeling outside of one's body is a primary manifestation of this disorder." Feeling detached from one's body, known as depersonalization, is a symptom of depersonalization/derealization disorder. Functional neurological symptom disorder primarily involves physical, rather than perceptual, disturbances. D. "The manifestations of this disorder are worse during times of increased stress." Symptoms of functional neurological symptom disorder often intensify during emotional or psychological stress. Stress-related factors contribute to the onset or worsening of symptoms, making stress management a key part of treatment.