A client has been diagnosed as having blindness related to conversion disorder. She displays
indifference regarding the conversion symptom. The nurse states "I can't understand why the client
doesn't seem more anxious about her symptom.
". The understanding that should guide planning is
that the
a. client is suppressing her true feelings.
b. client's anxiety has been relieved through the physical symptom.
c. client's needs are met during hospitalization, so she has no need to be anxious.
d. client does not wish to display her actual fear.
ANS: B
Psychoanalytical theory suggests conversion reduces anxiety through production of a physical
symptom that is symbolically linked to an underlying conflict. Option A: Conversion, not
suppression, is the operative defense mechanism in this disorder. Option C: This explanation
oversimplifies the dynamics, suggesting that only dependency needs are of concern. Option D: This
option suggests conscious motivation, but conversion operates unconsciously.
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