A nurse is counseling a group of clients from a town that was affected by a hurricane 6 months ago. For which of the following clients should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply.)

A client who describes feeling disconnected from those around him following the hurricane.

A client who describes having persistent feelings of anger about the hurricane.

A client who has frequent nightmares about the hurricane.

A client who moved to an apartment located on higher ground than her previous home.

A client who expresses a realization that life will not return to the way it was before the hurricane.