What is a risk for clients in a true manic state?

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In a true manic state, individuals experience heightened energy levels, decreased need for sleep, and impulsivity, which can lead to engaging in risky behaviors. This elevated state, while seemingly productive or energetic, can significantly tax the body. As clients in a manic state often push themselves to extremes, they are at risk for physical exhaustion due to lack of sleep and overwhelming activity. This intense physical strain can have serious consequences, potentially leading to cardiovascular issues, severe dehydration, or even death in extreme cases.

The other options present scenarios that do not align with the characteristics of a manic state. Excessive sleep and eating would typically reflect depressive symptoms rather than mania. Emotional balance and clarity suggest a level of control and stability that is not present during a manic episode, where emotions can be erratic and unstable. Advanced decision-making capacity implies sound judgment and rational thinking, which is often impaired during manic episodes, as individuals may make impulsive choices without considering potential consequences.

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