A nurse is assisting in the admission of a 30-year-old client to an inpatient mental health facility. Exhibits For which of the following manifestations of withdrawal is the client at risk? Select the 4 manifestations of withdrawal for which the client is at risk.

Choice A rationale: Insomnia Withdrawal from stimulants like methamphetamine often leads to insomnia, agitation, and restlessness. The body's central nervous system experiences difficulty regulating sleep due to prior overstimulation, making restful sleep challenging. Choice B rationale: Hypothermia Hypothermia is not a typical withdrawal symptom of heroin or methamphetamine. Instead, opioid withdrawal more commonly causes hyperthermia (increased body temperature) due to autonomic instability. Choice C rationale: Hyperreflexia Hyperreflexia (exaggerated reflexes) is often seen in stimulant withdrawal, including methamphetamine withdrawal, due to neurological overactivity as the body adjusts to the absence of stimulants. Choice D rationale: Diaphoresis Profuse sweating (diaphoresis) is a classic symptom of heroin withdrawal, as the body struggles to regulate temperature and autonomic function after stopping opioid use. Choice E rationale: Slurred speech Slurred speech is more common in intoxication rather than withdrawal. Opioid withdrawal generally results in restlessness, anxiety, and muscle aches rather than speech impairment. Choice F rationale: Anxiety Anxiety is a significant withdrawal symptom for both heroin and methamphetamine, as withdrawal disrupts neurotransmitter balance, particularly dopamine and serotonin regulation.