Which of the following client statements would indicate the teaching about somatic symptom disorder has been effective?

Choice A reason: Saying nothing will help reflects hopelessness and lack of insight, showing ineffective teaching. Choice B reason: Believing symptoms can be controlled by effort reflects misunderstanding. Somatic symptoms are not under voluntary control. Choice C reason: Thinking the doctor believes symptoms are faked reflects poor understanding and perpetuates stigma. Choice D reason: Recognizing that managing stress improves symptoms demonstrates insight and effective teaching. Stress exacerbates somatic symptoms, so handling stress is key to improvement.