Final answer:
The appropriate intervention for a client with conversion disorder is to teach nonpharmacologic pain-control methods, as the condition arises from psychological distress rather than a physical cause. Physical therapies should be integrated with a comprehensive plan that emphasizes psychological support to address the mind-body connection.
Step-by-step explanation:
When caring for a client diagnosed with conversion disorder, which is a condition where psychological stress manifests as physical symptoms like paralysis without a neurological or medical cause, nurses should consider a multi-disciplinary approach that may involve physiotherapy, but also requires specific interventions addressing the psychological components. In this case, teaching the client how to use nonpharmacologic pain-control methods is an appropriate intervention as part of the care plan. While physiotherapists indeed work with patients to prevent muscle atrophy and encourage the use of impaired or paralyzed limbs, the symptoms of conversion disorder originate from psychological distress, making it essential to work on strategies that can address the mind-body connection.
Therefore, insisting that the client eat without assistance or exercising the client's arms regularly may not be effective until the underlying psychological issues are resolved. Working with the client rather than the family could be beneficial in reinforcing the client's independence and autonomy, but this must be done with sensitivity to the fact that paralysis in conversion disorder does not have a physical cause and therefore physical intervention alone may not be sufficient. Ultimately, an individualized care plan that includes psychological support and therapy is essential for recovery.