A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?

Choice A reason: Clients with PTSD usually avoid discussing the traumatic event rather than talking constantly about it. Choice B reason: Excessive sleep is not typical of PTSD. Clients often experience insomnia and hyperarousal. Choice C reason: PTSD often leads to strained relationships due to withdrawal and emotional numbing, not satisfying connections. Choice D reason: Hypervigilance and exaggerated startle response are hallmark symptoms of PTSD. Being easily startled by loud voices is expected.