— 心理社會完整性 · MEDIUM · SATA —
護理師針對剛診斷為第一型雙極性疾患的病人進行躁期症狀衛教。應包含下列哪些內容？（選所有適合的）
A nurse is teaching a client with newly diagnosed bipolar I disorder about signs of mania. Which manifestations should the nurse include in the education? (Select all that apply.)
- ADecreased need for sleep✓ 正解睡眠需求減少
- BGrandiosity✓ 正解自大狂
- CRapid, pressured speech✓ 正解快速、急促的言語
- DExcessive participation in risky activities✓ 正解過度參與危險活動
- ESocial withdrawal社交退縮
— Explanation · 中文詳解 —
躁期（Mania）的臨床表徵包括精力的過度亢進，如睡眠需求下降、誇大妄想、連珠炮似的說話速度，以及缺乏深思熟慮的衝動行為。這些症狀會顯著影響病人的社會與職業功能。選項 E 為憂鬱期的特徵，與躁期相反。
The clinical manifestations of mania include excessive energy, such as a decreased need for sleep, grandiose delusions, rapid pressured speech, and impulsive behaviors without forethought. These symptoms significantly impair social and occupational functioning. Option E represents a feature of the depressive phase and is the opposite of mania.
✦ 台美臨床差異
美國心理衛生護理對躁期辨識極為重視自殺與衝動風險；台灣臨床同樣重視，但在社區衛教資源的可近性上有所不同。