A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)

A. Grandiosity: Clients in a manic episode often display inflated self-esteem or exaggerated beliefs about their abilities and importance. They may express unrealistic confidence or claim to have special powers, which reflects the characteristic grandiosity of mania. B. Flight of ideas: Rapid, continuous speech with abrupt topic changes is a hallmark of mania. The client’s thoughts move quickly from one idea to another, making conversation difficult to follow and reflecting pressured speech and distractibility. C. Splitting: Splitting is commonly associated with borderline personality disorder rather than bipolar disorder. It involves viewing people or situations as entirely good or entirely bad, without recognizing nuance or complexity. D. Hyperactivity: Increased energy levels, restlessness, and reduced need for sleep are typical manifestations of mania. Clients may engage in constant activity, excessive talking, or impulsive behaviors that can pose safety risks. E. Withdrawal: Withdrawal and social isolation are more commonly seen in depressive episodes rather than during mania, when clients tend to seek stimulation and interaction with others.