A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

Choice A reason: Writing a detailed daily activity schedule is not typically associated with acute mania. In fact, individuals experiencing mania often have difficulty maintaining structured routines due to their heightened energy levels and racing thoughts. Choice B reason: Refusing to engage in conversation is more indicative of depressive episodes rather than manic episodes. During mania, individuals are usually more talkative and may have pressured speech. Choice C reason: Isolating oneself from others is another behavior more commonly associated with depression. In contrast, those experiencing mania often seek out social interactions and may be overly sociable. Choice D reason: Reporting a lack of sleep is a hallmark symptom of acute mania. Individuals in a manic state often feel little need for sleep and may go for days with minimal rest without feeling tired. This lack of sleep can exacerbate other manic symptoms, such as irritability, impulsivity, and grandiosity.