A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?

A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.

A. Somatic symptom disorder. This disorder involves experiencing physical symptoms that cause significant distress or impairment, typically related to an underlying medical condition. The client’s actions do not reflect a focus on physical symptoms for relief of anxiety or distress in the same way.
B. Illness anxiety disorder. This disorder is characterized by excessive worry about having a serious illness despite minimal or no symptoms. The client’s behavior of intentionally cutting themselves does not align with this disorder, as there is no indication of anxiety over illness.
C. Factitious disorder. This disorder involves intentionally producing or feigning symptoms for the purpose of assuming the sick role, without external incentives. The client’s admission of boredom as the reason for self-harm indicates an intent to create a situation for attention or care, aligning with factitious disorder.
D. Functional neurological symptom disorder. This condition involves neurological symptoms that cannot be explained by medical findings, often presenting as involuntary symptoms. The client’s self-inflicted injuries are not indicative of this disorder, as they intentionally engaged in self-harm.