A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient?
a. "Since my father died, I've been short of breath and had sharp pains that go down my left arm, but I think it's just indigestion."
b. "I have daily problems with nausea, vomiting, and diarrhea. My skin is very dry, and I think I'm getting seriously dehydrated."
c. "Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it. I think it's starting to cause problems with my marriage."
d. "I get choked very easily and have trouble swallowing when I eat. I think I might have cancer of the esophagus."
ANS: A
Patients with conversion (functional neurological) disorder demonstrate a lack of concern regarding the seriousness of symptoms. This lack of concern is termed "la belle indifférence." There is also a specific, identifiable cause for the development of the symptoms; in this instance, the death of a parent would precipitate stress. The distracters relate to sexual dysfunction and illness anxiety disorder.
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