Which client is at the highest risk for violent behavior?

The client with a history of being physically and sexually abused demonstrates significant risk factors associated with violent behavior, particularly due to the trauma experienced in their formative years. Childhood abuse can lead to long-term psychological effects, which may include difficulty in managing emotions, impulsivity, and a heightened likelihood of aggressive behavior in stressful situations. Although hyperactivity is noted as a stress response, the underlying trauma is critical; individuals who have experienced such abuse may internalize feelings of anger and frustration that can manifest as volatility or aggression.

While the other clients exhibit risk factors such as substance abuse or paranoid ideation, these aspects may not correlate as strongly with violence as does the combination of childhood abuse and the resultant psychological responses. The client with a history of alcohol-related violent behavior does present a significant risk; however, his violence is contingent on substance use, making it less consistent than the potential risk posed by unresolved trauma. Similarly, the disorientation and paranoia seen in other clients could lead to unpredictable behavior, but the underlying causes are not as directly linked to a propensity for violence as childhood abuse is. The client who experienced abuse has a multifaceted history that compounds their risk for violent behavior beyond that of substance-related issues or paranoid delusions.

Therefore, the combination of this traumatic