A nurse is discussing common misconceptions regarding clients who have substance use disorder. The nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?

A. Dissociative amnesia: This diagnosis involves a loss of memory for personal information or events, typically following trauma or stress. It does not relate to intentionally causing injuries or symptoms.
B. Factitious disorder: Individuals with factitious disorder intentionally produce or feign physical or psychological symptoms to assume the role of a sick person. This behavior can include causing self-harm, such as breaking bones, to gain attention, sympathy, or care from others. The client's actions align with this diagnosis.
C. Illness anxiety disorder: Previously known as hypochondriasis, this disorder involves excessive worry about having a serious illness despite having no significant medical evidence. Individuals with this disorder do not intentionally cause harm to themselves; rather, they focus on perceived health concerns.
D. Functional neurological symptom disorder: This disorder involves neurological symptoms that cannot be explained by medical conditions. While individuals may have genuine neurological symptoms, they do not typically engage in self-harm or intentionally inflict injuries as seen in factitious disorder.

A. The nurse will lose their nursing license immediately: While stealing and taking drugs from the narcotics cart is a serious offense, losing a nursing license typically involves a formal investigation process and a hearing before the board of nursing. Immediate revocation is unlikely without due process.
B. The nurse will need to transfer to a different unit: Transferring to a different unit does not address the underlying issue of substance abuse or theft. While this may occur in some cases, it is not a likely initial outcome given the severity of the allegations.
C. The nurse will be fired immediately: While termination may occur as a consequence of the behavior, it is not the immediate action taken in response to the report. The facility may conduct an investigation before deciding on termination.
D. The nurse will be assisted into drug treatment: It is common for healthcare facilities to offer assistance for substance use disorders, especially if the nurse expresses a willingness to seek help. The initial outcome often includes referrals to treatment programs as part of a broader approach to address the issue and ensure the nurse receives the necessary support.