A client is admitted with a diagnosis of bipolar disorder. This client is dressed in a flowing purple robe. The nurse who conducts the admission interview asks this client if he believes that he has extraordinary abilities or powers

The nurse is assessing for which of the following symptoms? a. delusions of persecution
b. ideas of reference
c. grandiosity and inflated self-esteem
d. flight of ideas


C
The nurse would assess for symptoms of grandiosity and inflated self-esteem. The client's appearance in a flowing purple robe is an example of the bizarre dress of clients who are in a manic state. Also, by asking the client if he believes he has extraordinary powers and abilities would be a method to determine the client's level of self-esteem. The nurse would recognize that delusions of grandeur are often identified in clients with psychotic disorders such as bipolar disorder.

Nursing

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Nursing