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: Excessive sleep is not a typical manifestation of PTSD. Clients often experience insomnia, nightmares, or hyperarousal rather than prolonged drowsiness. Choice B reason: PTSD frequently impairs relationships due to emotional withdrawal, irritability, and hypervigilance. Reporting satisfying relationships is inconsistent with expected findings. Choice C reason: Clients with PTSD usually avoid discussing the traumatic event because it triggers distress. Constantly talking about the trauma is not typical; avoidance and intrusive memories are more characteristic. Choice D reason: Being easily startled by loud voices reflects hyperarousal, a core symptom of PTSD. Clients often demonstrate exaggerated startle responses, hypervigilance, and sensitivity to environmental stimuli.