A nurse is reviewing treatment options for a client who has functional neurological symptom disorder. Which of the following treatments should the nurse identify as being most effective for this disorder?

Systematic desensitization

Daily benzodiazepines to prevent new symptoms.

Daily physical therapy

A combination of medication and psychotherapy

Answer and Explanation

The Correct Answer is D

A. Systematic desensitization. This therapeutic approach is primarily used for anxiety disorders and phobias, not specifically for functional neurological symptom disorder. It may not directly address the complexities of the symptoms associated with this disorder.
B. Daily benzodiazepines to prevent new symptoms. Benzodiazepines are generally not the first-line treatment for functional neurological symptom disorder. While they may provide short-term relief for anxiety, they do not address the underlying issues related to functional symptoms and can lead to dependency.
C. Daily physical therapy. While physical therapy can be a component of treatment for functional neurological symptom disorder, focusing solely on physical therapy may not address the psychological factors that contribute to the disorder.
D. A combination of medication and psychotherapy. This approach is recognized as the most effective treatment for functional neurological symptom disorder. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can help address the psychological aspects of the disorder, while medication may be used to manage comorbid conditions such as anxiety or depression. This combination provides a comprehensive treatment strategy.

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Correct Answer is A

Explanation

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. Withdrawn B. Multiple hospitalizations C. Unexplained abdominal pain D. Excessive thinking about health E. Recent trauma

Correct Answer is ["A","B","C","D"]

Explanation

A. Withdrawn: The child's withdrawn behavior, such as looking downcast and avoiding eye contact, may indicate emotional distress or a potential psychological issue, which can be associated with factitious disorder. Individuals with factitious disorder may exhibit emotional signs that reflect their internal struggles and manipulation of health-related situations.
B. Multiple hospitalizations: Frequent hospitalizations, especially without a clear medical diagnosis, can suggest factitious disorder. This pattern often reflects a behavior where an individual seeks medical attention and care, indicating a need to assume the sick role.
C. Unexplained abdominal pain: The presence of unexplained abdominal pain, particularly when combined with a history of seeking medical attention, aligns with factitious disorder. In this condition, individuals often feign or produce symptoms for psychological reasons, leading to repeated medical evaluations without a clear medical basis.
D. Excessive thinking about health: An intense preoccupation with health issues can be indicative of factitious disorder. This behavior demonstrates a focus on illness that may lead to manipulative behaviors in seeking attention or care.
E. Recent trauma: While trauma can contribute to various psychological conditions, it is not specifically indicative of factitious disorder. Many individuals may experience trauma without developing this disorder, making it less relevant in this context.

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A nurse is reviewing treatment options for a client who has functional neurological symptom disorder. Which of the following treatments should the nurse identify as being most effective for this disorder?

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