HESI Registered Nurse EXIT Practice Exam

Which statement suggests that a client is experiencing a manic episode?

1. "I think all children should have their heads shaved."

2. "I have been restricted in thought and harmed."

3. "I have powers to get you whatever you wish, no matter the cost."

4. "I think all of my contacts last week have attempted to poison me."

The correct answer is: "I have powers to get you whatever you wish, no matter the cost."

The statement indicating that a client is experiencing a manic episode is one that reflects grandiosity and an inflated sense of self-importance. When a client expresses beliefs about having special powers or abilities to fulfill others' wishes without regard for limits, it exemplifies a key characteristic of mania. This can include feelings of euphoria, heightened energy levels, and unrealistic plans or ideas. During a manic episode, individuals often exhibit extreme confidence and may believe they can achieve unrealistic goals or have extraordinary talents. The expression of having "powers to get you whatever you wish" clearly illustrates this elevated sense of self and a lack of insight into the improbability of such claims. This aligns with the manic features recognized in mood disorders, where patients may also engage in risky behaviors or have trouble managing interpersonal relationships due to their fervent belief in their own capabilities. Other statements do not demonstrate this characteristic of mania. For instance, the statement about thoughts being restricted and harm suggests feelings of depression or anxiety, while thoughts of being poisoned imply paranoia or delusions rather than grandiosity. The first option about children represents an erratic thought process, but it doesn’t convey the clear grandiosity found in the correct choice. The focus on grandiosity is what distinctly identifies the manic episode in this