A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?

Stage 3 alcohol withdrawal, also known as delirium tremens (DTs), is characterized by severe manifestations, including hallucinations (such as seeing spiders crawling on the walls), disorientation, agitation, and potentially life-threatening physiological disturbances. The client's

belief that they are at home and calling for their mother indicates significant confusion and disorientation, which are common features of delirium tremens.

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.