NursingPlex
    Sign In
    Ati pn mental health proctored exam

    A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations on their leg. The client states, "I was feeling bored, so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?

    Explanation & Rationale

    A. Somatic symptom disorder: Somatic symptom disorder involves experiencing physical symptoms that cause significant distress or impairment, often without a clear medical cause. The client's action of cutting themselves due to boredom suggests a maladaptive coping mechanism related to emotional distress, which aligns with the characteristics of somatic symptom disorder. B. Illness anxiety disorder: Illness anxiety disorder is characterized by excessive worry about having a serious illness despite minimal or no symptoms. The client's self-harming behavior does not indicate anxiety about illness but rather reflects an impulsive action taken out of boredom. C. Functional neurological symptom disorder: Functional neurological symptom disorder features neurological symptoms that cannot be explained by a medical condition. However, it typically does not involve self-harm as a response to boredom. The client's behavior does not fit this diagnosis. D. Factitious disorder: Factitious disorder involves intentionally producing or feigning symptoms to adopt the sick role or gain attention. While the client is engaging in self-harm, it does not appear to be for the purpose of deception or seeking attention, which distinguishes their behavior from factitious disorder.

    🔒 Submit your answer to reveal