A nurse is conducting an assessment for a client who is experiencing an acute manic episode in a crisis shelter. Which of the following behaviors should the nurse expect?

Choice A reason: Grandiosity is a hallmark symptom of mania. Clients may exhibit an inflated sense of self-esteem or unrealistic beliefs about their abilities, such as thinking they have special powers or are destined for greatness. This behavior is often noticeable and disruptive, aligning with diagnostic criteria for a manic episode. Choice B reason: Flight of ideas is also common during mania, characterized by rapid shifts in conversation topics and racing thoughts. While this is a typical symptom, it is not the most defining or expected behavior compared to grandiosity, which is more overt and diagnostically significant. Choice C reason: Hyperactivity is frequently observed in manic episodes, including excessive physical movement, restlessness, and engagement in multiple activities. However, it is a secondary manifestation and less diagnostically specific than grandiosity. Choice D reason: Withdrawal is not characteristic of mania. It is more commonly associated with depressive episodes or other mental health conditions such as schizophrenia or severe anxiety. Clients in a manic state are typically highly engaged, energetic, and socially intrusive rather than withdrawn.