A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

A. Factitious disorder. Factitious disorder involves intentionally faking, exaggerating, or inducing physical or psychological symptoms to assume the sick role. Clients may purposely injure themselves, such as breaking bones, to gain medical attention, even without external rewards like financial gain. B. Illness anxiety disorder. This condition, previously known as hypochondriasis, involves excessive worry about having a serious illness despite minimal or no symptoms. Unlike factitious disorder, clients do not intentionally cause harm to themselves but rather misinterpret normal bodily sensations as signs of severe disease. C. Functional neurological symptom disorder. Formerly called conversion disorder, this condition involves neurological symptoms, such as paralysis or seizures, that cannot be explained by medical findings. The symptoms are involuntary and not intentionally produced, unlike in factitious disorder. D. Dissociative amnesia. Dissociative amnesia is characterized by sudden memory loss due to psychological stress or trauma, often affecting personal information or life events. It does not involve self-inflicted injuries or deliberate symptom fabrication, making it unrelated to this scenario.