A nurse is caring for a client who states, "When I get in the car to drive to work in the morning, my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?
Explanation & Rationale
A. Dissociative amnesia involves an inability to recall important personal information, usually related to trauma or stress. It affects memory, not motor or sensory function. Numbness of the hands would not be explained by dissociative amnesia. B. Factitious disorder involves the intentional falsification or induction of physical or psychological symptoms to assume the sick role. There is no indication in this scenario that the client is intentionally producing symptoms. C. Functional neurological symptom disorder (formerly called conversion disorder) involves neurological symptoms (e.g., numbness, weakness, paralysis, tremors) that are incompatible with known medical conditions and are often triggered by psychological stress. The client’s numbness occurring specifically when driving to work suggests a stress-related neurological manifestation without an identifiable organic cause. D. Depersonalization/derealization disorder involves persistent or recurrent feelings of being detached from oneself (depersonalization) or experiencing the environment as unreal (derealization). It does not typically cause focal neurological symptoms such as hand numbness.