護理師正在收納一位經歷躁症發作的雙極性情感障礙病人。病人態度強勢且自誇，最恰當的護理介入措施是什麼？
A nurse is admitting a client with bipolar disorder experiencing a manic episode. The client is demanding and boastful. Which is the MOST appropriate nursing intervention?
- AEncourage the client to rest by themselves.鼓勵病人獨自休息
- BAllow the client to direct the interaction.允許病人主導互動
- CEngage in boasting with the client to build rapport.與病人一同吹噓以建立關係
- DSet clear, firm, and simple limits on behavior.✓ 正解對行為設定明確、堅定且簡單的界線
躁症（Manic episode）個案常表現出誇大、衝動及界線模糊的行為。護理的核心目標是提供一個具備結構性（Structured）的環境，透過明確、堅定且簡潔的規範，協助病人將混亂的情緒行為導向可控的範圍，同時維護病房的安全與治療性氣氛。過度順從或參與病人的誇大妄想會強化病理行為，而過度放任則會導致病人的行為失控，增加自我傷害或攻擊他人的風險。
Patients in a manic episode often display grandiosity, impulsivity, and poor boundaries. The core nursing goal is to provide a structured environment and, through clear, firm, and simple limits, help guide the patient's chaotic emotional behavior into a manageable range, while preserving the safety and therapeutic atmosphere of the unit. Over-accommodating or participating in the patient's grandiose delusions reinforces pathological behavior, whereas excessive permissiveness allows behavior to escalate, increasing the risk of self-harm or aggression toward others.