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 B

Explanation

A. While anesthesia is used, the side effects from it are not the main concern with ECT.
B. The most common side effects are mild confusion, headache, and short-term memory loss, which are typically temporary.
C. Muscle relaxants are given before the procedure to prevent cramping or injury from the seizure.
D. Myocardial infarction is not a common side effect; this response could unnecessarily alarm the spouse.

A. Antipsychotic drugs B. Benzodiazepines C. Mood stabilizers D. Tricyclic antidepressants

Correct Answer is B

Explanation

A. Antipsychotics are used for psychosis (e.g., schizophrenia, delusions, hallucinations), not for acute anxiety.

B. Benzodiazepines (e.g., lorazepam, diazepam, alprazolam) are the treatment of choice for acute anxiety or panic attacks because they act quickly (within minutes to hours) by enhancing GABA neurotransmission, providing rapid relief.

C. Mood stabilizers (e.g., lithium, valproate) are used in bipolar disorder, not for acute situational anxiety.

D. Tricyclic antidepressants (e.g., amitriptyline) are used for long-term management of depression and some anxiety disorders, but their onset is delayed (2–6 weeks), making them ineffective for acute anxiety.

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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 B

Explanation

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