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 C

Explanation

A. Haloperidol is not commonly associated with bleeding; this is more relevant to anticoagulants or antiplatelet therapy.

B. Pancreatitis is more commonly associated with certain antipsychotics like clozapine or valproate, not haloperidol.

C. Haloperidol, a typical antipsychotic, can prolong the QT interval and cause cardiac dysrhythmias, especially in higher doses or IV administration. Monitoring ECG and cardiac status is important.

D. Cataract formation is a potential adverse effect of long-term use of atypical antipsychotics such as quetiapine or olanzapine, not haloperidol.

A. Self-awareness enhances the nurse's advocacy role. B. Positive feelings promote the development of sympathy for patients. C. Strong negative feelings interfere with assessment and judgment. D. Strong positive feelings lead to healthy transference with the victim.

Correct Answer is C

Explanation

A. While self-awareness is beneficial, the primary reason for monitoring personal feelings is to prevent bias and maintain objectivity, not only to enhance advocacy.

B. Sympathy may be natural, but unchecked positive feelings do not replace professional assessment or judgment.

C. Nurses who experience anger, frustration, or judgment toward the family or situation may misinterpret information, make biased decisions, or fail to provide appropriate support. Awareness of personal feelings helps maintain objective and effective care.

D. Strong positive feelings can still lead to boundary issues or inappropriate transference, which is not the intended goal of professional self-awareness.

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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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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