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?

Choice A rationale Factitious disorder is characterized by falsification of physical or psychological signs or symptoms, or induction of injury or disease, associated with identified deception. The client's statement of intentionally cutting themselves due to boredom, without apparent external incentives, aligns with this disorder's pattern of feigned illness for internal psychological gain. Choice B rationale Illness anxiety disorder involves preoccupation with having or acquiring a serious illness, with somatic symptoms being absent or only mild. The client's action of self-cutting, an overt physical manifestation, does not align with the core features of illness anxiety, which is characterized by excessive health-related anxiety. Choice C rationale Functional neurological symptom disorder, previously conversion disorder, involves neurological symptoms that are inconsistent with known neurological conditions and are not intentionally produced. The client's deliberate act of cutting themselves contradicts the involuntary and neurological nature of this disorder. Choice D rationale Somatic symptom disorder is characterized by one or more distressing or significantly disruptive somatic symptoms, often with excessive thoughts, feelings, or behaviors related to the symptoms. While the client has a physical symptom (lacerations), the explicit statement of intentional self-infliction for boredom distinguishes it from the non-volitional nature of somatic symptom disorder.