— 心理社會完整性 · MEDIUM · MCQ —
一位處於躁期（Manic phase）的第一型雙極性疾患個案，護理師應預期觀察到何種行為？
A nurse is caring for a client with Bipolar I disorder in a manic phase. Which behavior should the nurse expect to observe?
- AFlight of ideas and pressured speech✓ 正解思維奔逸和急迫性言語
- BPreoccupation with guilt and hopelessness沉溺於罪惡感和絕望感
- CSlowed speech and psychomotor retardation言語遲緩和精神運動性遲滯
- DSocial withdrawal and lack of energy社交退縮和缺乏精力
— Explanation · 中文詳解 —
躁期特徵為情緒高昂、活動量激增、觀念飛躍（flight of ideas）與壓力性言語（pressured speech）。病人通常睡眠需求減少、對享樂活動過度參與。選項 C、B、D 皆為憂鬱期表現，與躁期症狀相反。
Manic episodes are characterized by elevated mood, increased activity, flight of ideas, and pressured speech. Patients typically show decreased need for sleep and excessive involvement in pleasurable activities. Options C, B, and D describe features of a depressive episode, which is opposite to mania.
✦ 台美臨床差異
美台對於躁期病人的環境管控策略相似，但台灣臨床常需更多人力協助保護躁動病人免於受傷。