一位躁鬱症躁期病人正在走廊走來走去，並對其他病人吼叫。護理師的首要行動為何？
A client in the manic phase of bipolar disorder is pacing the halls and shouting at other clients. What should be the nurse's initial action?
- AAdminister an antipsychotic medication給予抗精神病藥物
- BPlace the client in seclusion將病人隔離
- CDirect the client to a quiet, less stimulating area✓ 正解引導病人到安靜、刺激較少的區域
- DConfront the client about their behavior當面指責病人的行為
躁期（manic phase）病人的核心護理目標是維持環境安全與降低刺激。病人正處於躁動狀態，容易對他人造成衝擊或引發爭執。將病人帶離公共區域至安靜環境，能有效減少環境中的感官刺激，進而降低病人的激動程度，這是非藥物治療的優先介入。其他選項如強硬對抗或隔離，通常會激化病人的憤怒，且隔離屬於限制病人人身自由的最後手段，需嚴格遵循法律規範與評估。
The core nursing goal for a client in the manic phase of bipolar disorder is to maintain environmental safety and reduce stimulation. The client is agitated and may impact others or provoke conflict. Moving the client away from the public area to a quiet environment effectively reduces sensory stimulation and decreases the level of agitation, making this the priority nonpharmacological intervention. Other options such as confrontation or seclusion typically escalate the client's anger; seclusion in particular is a last-resort measure that restricts the client's freedom and must comply strictly with legal regulations and assessment criteria.