A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?

C. Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs or magical thinking, unusual perceptual experiences, and social and interpersonal deficits. Individuals with this disorder may exhibit peculiar or paranoid beliefs, such as believing they have special powers or abilities like mind-reading, as described in the scenario.

A. Antisocial personality disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others. Individuals with this disorder may engage in behaviors such as deceitfulness, impulsivity, aggression, and lack of remorse.

B. Paranoid personality disorder is characterized by a pervasive distrust and suspicion of others, leading to interpersonal difficulties and a heightened sense of threat or persecution.

D. Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, leading to avoidance of social interactions and situations.

D. In the immediate aftermath of a sexual assault, the primary focus of the SANE nurse is to ensure the safety and well-being of the client. This includes providing a safe and supportive environment for the client, assessing and treating any physical injuries, addressing immediate medical needs, and offering emotional support and crisis intervention.

A, B, and C involve aspects of legal procedures and involvement of law enforcement, but they may not be appropriate or feasible for every client in every situation. Additionally, the decision to involve law enforcement or pursue legal action should be made in collaboration with the client and should prioritize their safety, autonomy, and well-being.