The nursing assessment reveals that a client has been intentionally injuring themselves so that they can receive long-term disability and can avoid work. The nurse interprets this behavior as suggesting which condition?

A. Illness anxiety disorder: This condition involves excessive worry about having or developing a serious illness, despite minimal or no physical symptoms. The motivation is fear and anxiety about health, not intentional injury to gain financial or external benefits. B. Functional neurologic symptom disorder: This involves neurological symptoms such as paralysis or blindness that cannot be explained by medical conditions. The symptoms are not intentionally produced, making it different from deliberate self-injury for gain. C. Factitious disorder imposed on another: This condition occurs when a caregiver deliberately produces or falsifies illness in someone else, to assume the sick role by proxy. It does not fit the client’s situation of self-injury for personal financial advantage. D. Malingering: Malingering involves intentional production or exaggeration of symptoms for external incentives such as financial compensation, disability benefits, or avoidance of work. The client’s behavior of self-injury to receive disability and avoid employment is a clear example of malingering.