All of the following are symptoms of opiate abuse withdrawal (COWS) except

A. Sweating is a common symptom of opioid withdrawal and is included in the Clinical Opiate Withdrawal Scale (COWS), which is used to assess the severity of withdrawal symptoms.
B. Goosebumps (also called piloerection) are a classic physical sign of opioid withdrawal and are specifically assessed in the COWS scoring system.
C. Palpitations are not typically listed as a core symptom of opioid withdrawal in the COWS assessment. While some individuals may subjectively report feeling anxious or having an increased heart rate, palpitations are not a primary or consistent withdrawal symptom.
D. High blood pressure is a recognized symptom of opioid withdrawal and is measured in the COWS tool as part of autonomic symptoms like increased pulse and blood pressure.

A. Educate the victim about strategies to avoid attacks in the future is not the most therapeutic intervention immediately after the assault. While prevention strategies can be helpful later, the immediate priority is providing emotional support and ensuring the victim feels heard and understood. This helps begin the process of healing.
B. Use accepting, nurturing, and empathetic communication techniques is the most therapeutic approach. Victims of sexual assault need a safe space to express their feelings and to feel supported without judgment. Using empathetic, compassionate communication helps to validate their feelings and begins to rebuild trust. It also allows the victim to process the trauma at their own pace.
C. Discourage the expression of feelings until the victim stabilizes is not a therapeutic approach. Bottling up emotions can lead to further psychological harm. Encouraging the victim to express their feelings when they are ready can be part of the healing process. Discouraging emotional expression may make the victim feel invalidated or isolated.
D. Maintain a matter-of-fact manner and objectivity might seem neutral, but it can come across as cold or distant, which could worsen the victim’s emotional state. While maintaining professionalism is important, the victim requires emotional support, which can be achieved through empathetic and compassionate communication