Registered Practical Nurse (RPN) Practice Test

What is the primary distinction between somatoform disorders and factitious disorder?

1. Symptoms are less severe in somatoform disorders

2. Patients do not seek medical treatment in somatoform disorders

3. Symptoms are not deliberate in somatoform disorders

4. Somatoform symptoms are always psychological in origin

The correct answer is: Symptoms are not deliberate in somatoform disorders

The primary distinction between somatoform disorders and factitious disorder lies in the nature of the symptoms presented. In somatoform disorders, patients experience physical symptoms that are not intentionally produced and are not fully explained by a medical condition. These individuals genuinely believe that they are suffering from a medical issue, even though no biological cause can be found. This leads to significant distress and impairment in functioning. In contrast, factitious disorder involves intentionally falsifying or producing physical or psychological symptoms, motivated by a desire to assume the sick role. Unlike individuals with somatoform disorders, those with factitious disorder are aware that they are feigning or inducing symptoms. Therefore, the correct choice highlights that the symptoms in somatoform disorders are not deliberate actions of the individual, setting them apart from factitious disorders. Understanding this distinction is crucial for healthcare providers to offer appropriate treatment and support to individuals with these differing diagnoses.