The psychiatric mental health nurse practitioner on call is asked to evaluate a 21-year-old male who was just arrested following an altercation at a local bar. The patient has never been incarcerated before and there is no psychiatric or medical history available. His toxicology screen was negative for alcohol or any drugs of abuse. His mother is available, and she reports that in the past he has had some episodes of agitation. But this is the first time it's been a problem. Reportedly, he and some coworkers were at the bar celebrating a birthday, and before anyone knew what happened, an argument appeared to escalate. The patient became very loud, was yelling and acting crazy, began breaking bottles and finally punched a coworker. When considering a manic or hypomanic episode, the psychiatric mental health nurse practitioner expects that his speech would most likely be characterized as:

A. Stuttered

B. Increased 

C. Childlike  

D. Confused 

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