一位 45 歲女性處於雙相情緒障礙症的躁狂期，在走廊來回踱步、語速極快，並對其他病人發表侵擾性評論。下列何項護理措施最具治療性？
A 45-year-old female client in the manic phase of bipolar disorder is pacing the hallways, speaking rapidly, and making intrusive comments to other clients. Which nursing action is most therapeutic?
- AProvide a structured, low-stimulation environment with physical activity options✓ 正解提供結構化、低刺激的環境，並提供體力活動選項
- BAssign the client to lead a group therapy session to channel energy指派病人帶領團體治療課程以宣洩精力
- CConfront the client about her inappropriate behavior in front of others在他人面前指正病人的不當行為
- DSet strict limits by placing the client in seclusion immediately透過立即隔離來設定嚴格界限
針對處於躁狂期的病人，護理重點在於降低環境刺激以穩定情緒，並提供適當的能量消耗管道。強制隔離（D）屬最後手段，應先嘗試減壓。公開指責（C）會引發對抗，不具治療性。領導團體（B）會干擾團體進行且病人無法專注，故提供結構化且低刺激的環境與導向能量的運動最合適。
For a patient in the manic phase of bipolar disorder, the focus of care is reducing environmental stimulation to stabilize mood and providing an appropriate outlet for excess energy. Mandatory seclusion (D) is a last resort, and less restrictive measures should be tried first. Public confrontation (C) triggers oppositional behavior and is not therapeutic. Having the patient lead a group (B) disrupts the group process and is impossible for someone who cannot focus. Therefore, providing a structured, low-stimulation environment along with channels for physical activity is the most appropriate option.
美國法規對 seclusion/restraint 的使用有嚴格的時限監控；台灣則更強調醫師開立處方及護理師定時巡視紀錄的完整性。