A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?

A. Schizophrenia. Schizophrenia is a severe psychiatric disorder characterized by delusions, hallucinations, and disorganized thinking. While somatic symptom disorder (SSD) involves excessive focus on physical symptoms, it is not commonly linked to schizophrenia, which primarily affects perception and cognition.
B. Major depressive disorder. Depression is a common comorbidity of somatic symptom disorder. Clients with SSD often experience persistent sadness, hopelessness, and fatigue due to their distress over physical symptoms, which can contribute to or exacerbate depression.
C. Borderline personality disorder. While borderline personality disorder (BPD) is associated with emotional dysregulation and unstable relationships, it is not the most common comorbidity of SSD. BPD can co-occur with SSD, but depression and anxiety disorders are more frequently seen.
D. Bipolar disorder. Bipolar disorder involves mood fluctuations between mania and depression, whereas SSD is primarily characterized by excessive health-related concerns. While both conditions can co-exist, depression is more commonly associated with SSD.

A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.