A nurse is providing information regarding the social determinants of mental health and persons with serious mental illnesses (SMI). Which of the following pieces of information should the nurse share during the presentation?

A. Factitious disorder. Factitious disorder involves intentionally faking, exaggerating, or inducing physical or psychological symptoms to assume the sick role. Clients may purposely injure themselves, such as breaking bones, to gain medical attention, even without external rewards like financial gain.
B. Illness anxiety disorder. This condition, previously known as hypochondriasis, involves excessive worry about having a serious illness despite minimal or no symptoms. Unlike factitious disorder, clients do not intentionally cause harm to themselves but rather misinterpret normal bodily sensations as signs of severe disease.
C. Functional neurological symptom disorder. Formerly called conversion disorder, this condition involves neurological symptoms, such as paralysis or seizures, that cannot be explained by medical findings. The symptoms are involuntary and not intentionally produced, unlike in factitious disorder.
D. Dissociative amnesia. Dissociative amnesia is characterized by sudden memory loss due to psychological stress or trauma, often affecting personal information or life events. It does not involve self-inflicted injuries or deliberate symptom fabrication, making it unrelated to this scenario.

A. "Clients who have this disorder consciously control the manifestations." Functional neurological symptom disorder (formerly conversion disorder) involves involuntary neurological symptoms, such as paralysis, blindness, or seizures, that lack a medical explanation. Clients do not consciously produce or control these symptoms.
B. "Clients who have this disorder exhibit more than one personality." Multiple personalities are characteristic of dissociative identity disorder (DID), not functional neurological symptom disorder. Clients with functional neurological symptom disorder experience physical symptoms, not identity fragmentation.
C. "Feeling outside of one's body is a primary manifestation of this disorder." Feeling detached from one's body, known as depersonalization, is a symptom of depersonalization/derealization disorder. Functional neurological symptom disorder primarily involves physical, rather than perceptual, disturbances.
D. "The manifestations of this disorder are worse during times of increased stress." Symptoms of functional neurological symptom disorder often intensify during emotional or psychological stress. Stress-related factors contribute to the onset or worsening of symptoms, making stress management a key part of treatment.