A nurse is admitting a client who has posttraumatic stress disorder (PTSD) to a community mental health facility. Which of the following manifestations should the nurse expect when completing the admission assessment?

A. Decreased startle response to loud noises: Clients with PTSD typically exhibit an exaggerated startle response rather than a decreased one. Hyperarousal is a common symptom, making sudden noises or unexpected stimuli more distressing. B. Reports uninterrupted sleep of 10 to 12 hr each night: PTSD often causes sleep disturbances, including insomnia, nightmares, or frequent awakenings. Long, uninterrupted sleep is not characteristic of this disorder. C. Reluctance to discuss the event that precipitated the distress: Avoidance of reminders of the traumatic event is a hallmark symptom of PTSD. Clients may be unwilling or anxious about discussing the trauma, reflecting attempts to manage intrusive memories and emotional distress. D. Reports feelings of acute distress that began 1 to 2 weeks ago: PTSD is diagnosed when symptoms persist for more than one month following the traumatic event. Acute distress of 1 to 2 weeks would be more consistent with acute stress disorder rather than PTSD.