A nurse in an acute mental health unit is admitting a client diagnosed with bipolar disorder. The nurse recognizes which of the following findings supports the admitting diagnosis of acute mania?

Choice A Reason:Disorganized speech is a common symptom of acute mania in bipolar disorder. It reflects the racing thoughts and the inability to filter or organize ideas before speaking. This symptom can manifest as rapidly changing topics, speaking incoherently, or displaying a flight of ideas.Choice B Reason:While changes in interest in sexual relations can occur in bipolar disorder, a loss of interest is more commonly associated with depressive episodes rather than manic episodes. During manic episodes, individuals may actually exhibit an increased interest in sexual activity.Choice C Reason:Hearing voices, or auditory hallucinations, can be a symptom of acute mania, especially if the content of the hallucinations is grandiose or related to the individual's inflated self-esteem or sense of importance. However, this symptom is not as common as disorganized speech and is more often associated with psychotic features.Choice D Reason:Weight gain is not a symptom typically associated with acute mania. In fact, during manic episodes, individuals may experience weight loss due to high energy levels, decreased need for sleep, and increased physical activity.