A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling. "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?

A. A client requests extra blankets when the thermostat in the room indicates 25.6° C (78° F): This behavior does not necessarily indicate delirium. It could be a response to feeling cold or a preference for additional warmth. While it may warrant further assessment, it is not a classic manifestation of delirium.

B. A client wants to know the current time while there is a clock on the wall: Asking about the time does not specifically indicate delirium. The client may simply want confirmation or may not have noticed the clock on the wall. This behavior is more likely related to memory or orientation than delirium.

C. A client refuses to get out of bed and has no motivation to attend to daily hygiene: This behavior may be concerning and could indicate depression or another mental health issue, but it is not a classic manifestation of delirium. Delirium typically involves acute changes in mental status, including confusion, disorientation, and fluctuating levels of consciousness.

D. A client attempts to climb out of bed and repeatedly states she must get home: This behavior is indicative of delirium. Attempting to leave the bed or facility and expressing a strong desire to go home, especially when it is not feasible or safe to do so, is a classic manifestation of delirium. Delirium often involves confusion, agitation, and impaired judgment, leading the individual to act in ways that are out of character or irrational.

A. Crayons and a coloring book: While crayons and coloring books can be entertaining, they may not be suitable for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions. Toddlers at this age are typically more interested in exploring objects and engaging in physical activities.

B. Large building blocks: Large building blocks are suitable for a 12-month-old toddler as they promote fine motor skills, hand-eye coordination, and spatial awareness. They also encourage imaginative play and problem-solving, which are important aspects of cognitive development at this age. Additionally, large blocks are easy to clean and sanitize, making them suitable for use in a hospital setting with contact precautions in place.

C. Hanging crib toys: Hanging crib toys are more appropriate for infants, particularly those who are younger than 12 months old. At 12 months of age, toddlers are usually more mobile and may not be as interested in stationary crib toys.

D. Modeling clay: Modeling clay is not recommended for a 12-month-old toddler, especially in a hospital setting with contact precautions. Modeling clay poses a choking hazard, and toddlers at this age may not have the dexterity or understanding to use it safely. Additionally, modeling clay can be difficult to clean and sanitize between uses, making it unsuitable for use in a hospital environment.