A nurse is reviewing the medical record of a client who has functional neurological symptom disorder (conversion disorder). Which of the following findings should the nurse identify as placing the client at risk for functional neurological symptom disorder?

Choice A reason: Significant weight loss may be associated with medical illness, eating disorders, or depression, but it is not a typical risk factor for functional neurological symptom disorder. This finding does not directly relate to the psychological mechanisms underlying conversion symptoms. Choice B reason: A history of migraine headaches represents a neurologic or pain-related condition but does not, by itself, increase the risk for functional neurological symptom disorder. Conversion disorder symptoms are not explained by underlying neurologic disease. Choice C reason: Functional neurological symptom disorder is strongly associated with psychological stress or trauma that precedes symptom onset. The death of a child is a profound emotional stressor and is a well-recognized risk factor for the development of conversion symptoms, making this the most appropriate answer. Choice D reason: Although retirement can be a life transition, it is generally not considered an acute or severe psychological stressor associated with the onset of functional neurological symptom disorder, particularly when compared to significant emotional trauma.