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 inflated self-esteem, unrealistic beliefs about their abilities, or delusions of grandeur, which can impair judgment and increase risk-taking behaviors. Choice B reason: Flight of ideas is commonly observed during manic episodes. The client may rapidly shift from one topic to another, making communication disorganized and difficult to follow. This reflects cognitive hyperactivity and distractibility. Choice C reason: Hyperactivity is a core behavioral manifestation of mania. Clients may display excessive energy, engage in multiple activities simultaneously, and show reduced need for sleep, often leading to exhaustion and safety risks. Choice D reason: Withdrawal is more characteristic of depressive episodes or negative symptoms of schizophrenia. In mania, clients are typically overly engaged, intrusive, and socially disinhibited rather than withdrawn.