一位處於雙極性疾患躁期發作的個案，正於病房走廊走來走去並對其他病人大吼。護理師應優先採取何種措施？
A client experiencing a manic episode of bipolar disorder is pacing the halls and shouting at other clients. Which action should the nurse take first?
- ARequest that security personnel restrain the client要求保全人員對病人進行約束
- BSpeak firmly to the client to stop the shouting堅定地告訴病人停止大吼
- CRemove the client to a quiet, private area✓ 正解將病人帶至安靜、私密的區域
- DAdminister an emergency sedative給予緊急鎮靜劑
躁期發作的個案常伴隨過度刺激與攻擊傾向，首要任務是確保環境安全與降低個案情緒刺激。將個案帶離人群至安靜區域可預防暴力衝突升級。藥物與約束為最後手段，僅在溝通與環境調整失敗後採取。說教（B）在躁期個案身上常無效且易引發對抗。
Clients in a manic episode are often over-stimulated and prone to aggression; the priority is environmental safety and reducing stimulation. Removing the client from the group to a quiet area prevents escalation. Medications and restraints are last-resort measures used only after communication and environmental adjustments fail. Confrontational speech (B) is typically ineffective and may provoke conflict in a manic client.
美國護理教育強調『最少限制原則』（Least Restrictive Environment）；台灣醫療環境中，依規定使用約束的門檻較受法規嚴謹監控。