Answer: D. whether she is achieving some specific external gain
Step-by-step explanation:
Factitious disorder and malingering refers to the fact that patient is deceiving the physician by mimicking or simulating the symptoms. In malingering the reason for deception is rationally understandable. For example, avoiding duty, obtaining monetary compensation, obtaining drugs and evading prosecution. In fictitious disorder the reason is non-understandable or a proof of mental disorder.
According to the given situation, the physical symptoms are not real thus the doctor must know that what will she get after creating these false symptoms under factitious disorder or malingering condition.