A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

A. Permanent short-term memory loss: While certain substances, particularly chronic alcohol use, can lead to memory impairment, permanent short-term memory loss is not a typical complication of heroin use. Heroin primarily affects the respiratory system and can lead to other health risks such as overdose and infection. Therefore, this choice is incorrect.

B. Nasal septum perforation: Nasal septum perforation is typically associated with the intranasal use of substances like cocaine, which can damage the nasal tissues. Heroin is more commonly injected or smoked, and nasal perforation is not a primary health risk associated with its use. Therefore, this choice is incorrect.

C. Acute pancreatitis: Acute pancreatitis is commonly associated with excessive alcohol consumption rather than heroin use. Heroin primarily affects the central nervous and respiratory systems rather than the pancreas. Therefore, this choice is incorrect.

D. Respiratory depression/arrest: Heroin use poses a significant risk of respiratory depression and arrest, which can be fatal. It depresses the central nervous system and slows down breathing, potentially leading to severe hypoxia and death, especially in the case of overdose. This choice is correct.

A. Promoting social skills and communication development: This is a priority because individuals with Asperger's disorder often struggle with social interactions and communication. Interventions focus on improving these skills to enhance their quality of life and ability to function in society.

B. Administering medications to manage symptoms: While medications may be prescribed for co-occurring conditions (e.g., anxiety, ADHD), they are not typically the primary intervention for core symptoms of Asperger's disorder.

C. Implementing strict routines and schedules: Routine and structure can be beneficial for individuals with Asperger's disorder but are not the primary focus compared to social and communication skills.

D. Providing sensory stimulation to reduce hyperactivity: Sensory issues can be part of Asperger's disorder, but it is not the priority over social and communication development.