A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

A. The client's belief in having an extraordinarily high IQ and grandiose delusions about being married to a movie star are indicative of disturbed sensory perception. B. While family coping might be impacted, the primary concern here is the client's altered perception of reality. C. Impaired environmental interpretation might be related to the delusions but is not the primary problem. D. Ineffective sexual patterns are not the primary concern in this scenario; the client's altered reality and delusions take precedence.