護理師評估處於躁期(manic phase)的雙相情緒障礙症病患時,應預期出現哪些行為?(選所有適合的)
Which behaviors should the nurse expect when assessing a client in the manic phase of bipolar disorder? (Select all that apply.)
- AFlight of ideas✓ 正解思緒飛躍
- BDecreased need for sleep✓ 正解睡眠需求減少
- CPsychomotor retardation精神運動遲滯
- DGrandiosity✓ 正解自大狂
- EPressured speech✓ 正解語速急促
躁期的核心特徵包括異常興奮的行為與認知功能改變。想法飛躍(Flight of ideas)使得對話難以聚焦,言語急促(Pressured speech)代表思緒過快。病患會感到精力充沛而不需要睡眠,同時表現出誇大妄想(Grandiosity),認為自己有特殊能力或地位。精神運動遲滯則是憂鬱期的特徵。
The hallmark features of the manic phase include abnormally elevated behavior and altered cognitive function. Flight of ideas makes conversation difficult to focus, and pressured speech reflects racing thoughts. The client feels energetic and has a decreased need for sleep, while exhibiting grandiosity, believing they have special abilities or status. Psychomotor retardation, in contrast, is a feature of the depressive phase.
台美對躁鬱症的定義一致,但在台灣精神病房中,對於躁期病人的暴力行為防護,護理師需與保全有更緊密的合作與隔離指導。