An 18-year-old client who joined the military shortly after graduating from high school is admitted to the mental health unit for depression and suicidal ideation. He tells the nurse the military is not what he expected and he wants to go home
The nurse observes a variance in affect between his interaction with peers and staff. The nurse suspects: 1. Conversion disorder.
2. Factitious disorder.
3. Malingering.
4. Body dysmorphic disorder.
3
Rationale: Malingering describes a person deliberately faking symptoms; it is usually adopted to obtain a secondary gain. Factitious disorder describes a person assuming a sick role by intentionally producing or feigning illness. People with body dysmorphic disorder are preoccupied by an imagined defect. A person with a conversion disorder will report impaired physical function related to the expression of a psychologic conflict.
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