— 心理社會完整性 · MEDIUM · SATA —
護理師照護一位處於躁鬱症躁狂期的客戶，應預期出現哪些表現？（選所有適合的）
A nurse is providing care for a client experiencing a manic episode associated with bipolar disorder. Which findings should the nurse expect? (Select all that apply.)
- APressured speech✓ 正解急迫性言語
- BDecreased need for sleep✓ 正解睡眠需求減少
- CPsychomotor retardation精神運動遲滯
- DGrandiosity✓ 正解自大妄念
- EDistractibility✓ 正解易分心
— Explanation · 中文詳解 —
躁期（Mania）的典型特徵包含活動量增加、睡眠需求下降（非失眠，而是覺得不需要睡）、誇大妄想、思維奔馳（導致急促言語）及注意力極度分散。Psychomotor retardation（精神運動遲滯）則是憂鬱期的典型症狀，故不選。
Typical features of a manic episode include increased activity, decreased need for sleep (not insomnia, but a sense of not needing sleep), grandiose delusions, flight of ideas (causing pressured speech), and severe distractibility. Psychomotor retardation is a hallmark of depressive episodes and is therefore not characteristic of mania.
✦ 台美臨床差異
美國急性期照護常強調團體治療與藥物衛教，台灣則更重視急性期的約束安全與家屬支持。