一位 45 歲躁鬱症躁期個案在走廊來回踱步，並大聲發表浮誇言論。護理師應採取何種介入措施？
A 45-year-old client with bipolar disorder, manic phase, is pacing in the hall and making loud, grandiose statements. Which intervention is most appropriate for the nurse to implement?
- AProvide a structured, low-stimulation environment with physical activity✓ 正解提供結構化、低刺激的環境並安排體力活動
- BEncourage the client to join a group therapy session鼓勵客戶參加團體治療課程
- CRestrict the client to their room to maintain unit safety將客戶限制在房間內以維持病房安全
- DChallenge the grandiose statements to bring the client to reality質疑其浮誇言論以使其回歸現實
躁期個案能量過剩且易受刺激，護理重點在於減少環境干擾與提供建設性的肢體活動消耗體能。挑戰妄想（D）會引發對立，參與團體活動（B）會干擾他人，禁閉（C）可能引發暴力行為。提供結構化環境與適當活動能協助其恢復秩序感。
Manic clients have excess energy and are easily stimulated; the focus of nursing care is to reduce environmental stimulation and provide constructive physical activity to expend energy. Challenging the delusions (D) provokes opposition, participating in group activities (B) disturbs other clients, and seclusion (C) may provoke violent behavior. Providing a structured environment and appropriate activity helps the client regain a sense of order.
美護理師較強調以個案為中心的活動調整；台灣因人力限制，常以藥物控制及物理隔離為主。