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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This response minimizes her grief and implies pathology; crying after a recent traumatic loss is normal.
B. This response acknowledges the client’s pain, validates her feelings, and encourages continued expression, making it therapeutic.
C. This abruptly changes the subject and ignores her grief, which is the client’s primary concern.
D. This pathologizes normal grief and focuses on her diagnosis instead of providing empathy and support.
Correct Answer is B
Explanation
A. Confidentiality does not end when a client dies; healthcare professionals are still required to protect the privacy of medical records and disclosures.
B. This reflects the "duty to warn" principle (Tarasoff ruling), which legally obligates providers to take reasonable steps to protect identifiable individuals if a client poses a threat of harm. This is a recognized exception to confidentiality.
C. Healthcare workers must comply with court orders or subpoenas requesting medical information. Refusing is not legally permissible.
D. Attorneys do not automatically have access to client information; a legal order is required. Confidentiality is not broken based on an attorney’s request alone.
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