A client is reported missing by his family. Months later, he reappears with no memory of what happened while he was missing or where he had been. What condition does the nurse suspect the patient is demonstrating?
Explanation & Rationale
Choice A reason: Dissociative fugue is characterized by sudden travel away from home or work with an inability to recall one's past, often accompanied by confusion about identity or the adoption of a new identity. The hallmark feature is amnesia for the fugue episode, which fits the scenario described. Choice B reason: Dissociative amnesia involves memory loss for personal information, typically related to trauma, but does not include travel or identity confusion. It lacks the wandering behavior seen in fugue. Choice C reason: Detachment disorder is not a recognized psychiatric diagnosis. The term may be confused with depersonalization/derealization disorder, which involves feeling detached from oneself or surroundings, but does not include memory loss or travel. Choice D reason: Conversion disorder involves neurological symptoms (e.g., paralysis, blindness) without a medical cause, often linked to psychological stress. It does not involve memory loss or identity confusion.