Which outcome is expected for a client experiencing grandiose thinking associated with acute mania?

A. Clients experiencing grandiose thinking during acute mania often have inflated self-esteem and unrealistic ideas of ability or importance, making controlling or monitoring their thoughts a priority nursing outcome. B. While sleep disturbances are common in mania, this outcome does not directly address grandiose thinking. C. Increased engagement in the environment may occur, but it is not the primary expected outcome for controlling grandiose thoughts. D. Optimism may be present, but grandiosity involves exaggerated self-perceptions rather than realistic optimism.