Which outcome is expected for a client experiencing grandiose thinking associated with acute mania?

distorted thought self-control.

sleep pattern stabilization,

interest in the environment.

developing an optimistic outlook.

Answer and Explanation

The Correct Answer is A

A. Clients experiencing grandiose thinking during acute mania often have inflated self-esteem and unrealistic ideas of ability or importance, making controlling or monitoring their thoughts a priority nursing outcome.

B. While sleep disturbances are common in mania, this outcome does not directly address grandiose thinking.

C. Increased engagement in the environment may occur, but it is not the primary expected outcome for controlling grandiose thoughts.

D. Optimism may be present, but grandiosity involves exaggerated self-perceptions rather than realistic optimism.

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Correct Answer is D

Explanation

A. There is no indication that cultural bias is affecting interpretation; the focus is on the mismatch between verbal and nonverbal cues.

B. While the patient says they enjoy the interaction, their nonverbal behavior (fidgeting, covering face, looking under chair) suggests discomfort or anxiety, not purely positive feedback.

C. The behaviors described (fidgeting, covering face) do not indicate hallucinations or delusions typical of psychosis.

D. The patient verbally states enjoyment, but their body language suggests discomfort, anxiety, or internal conflict, indicating incongruence between words and actions.

A. "You will give up your right to refuse antidepressant medications upon admission." B. "You will still need to give informed consent for treatments after admission." C. "Your provider is required to notify your employer of your admission." D. "You cannot leave the facility until your provider completes a discharge summary."

Correct Answer is B

Explanation

A. Voluntary admission does not remove a patient’s right to refuse treatment; informed consent is still required for all medications and procedures.

B. Clients admitted voluntarily retain the right to make decisions about their care, including providing informed consent for treatments and medications. This statement accurately reflects the client’s rights.

C. Healthcare providers are not allowed to disclose patient admission information without consent; confidentiality is maintained.

D. Voluntary patients have the right to request discharge, usually with a short notice period, even before a formal discharge summary is completed.

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Which outcome is expected for a client experiencing grandiose thinking associated with acute mania?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Documentation in a patient's chart shows. "Throughout a 5-minute interaction, patient fidgeted and tapped their left foot, periodically covered their face with their hands, and looked under chair while stating, 1 enjoy spending time with you." Which analysis is most accurate?

Correct Answer is D

Explanation

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

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