護理師照護一位正處於雙極性疾患躁狂發作期的病人。下列哪種飲食選擇最合適？
The nurse is caring for a client who is experiencing a manic episode of Bipolar Disorder. Which meal choice is most appropriate for this client?
- ASpaghetti and meatballs with a side salad義大利麵配肉丸與副餐沙拉
- BSoup and crackers with a hot cup of tea湯與餅乾配一杯熱茶
- CA steak dinner with baked potato and corn牛排晚餐配烤馬鈴薯與玉米
- DChicken nuggets, a banana, and a carton of milk✓ 正解雞塊、香蕉與一盒牛奶
處於躁狂發作（Manic Episode）的病人通常活動過度、坐立不安，無法安靜坐下來吃完一頓完整的正餐。因此，護理介入的重點在於提供『手指食物』（Finger Foods），這類食物營養豐富且便於邊走邊吃。雞塊、香蕉和牛奶盒符合高熱量、高蛋白質且易於拿取的特徵，能補充其因過度活動消耗的熱量。牛排或義大利麵需要餐具且耗時較長，對躁狂病人來說執行困難，可能導致營養攝取不足或脫水。
Clients in a manic episode are typically hyperactive and restless and cannot sit through a full meal. Nursing intervention should therefore focus on providing finger foods, which are nutritionally rich and easy to eat on the move. Chicken nuggets, a banana, and a carton of milk are high in calories and protein, easy to grasp, and meet the energy needs of a manic client who is burning calories through hyperactivity. Steak or spaghetti requires utensils and time, making them impractical for a manic client and risking inadequate intake or dehydration.
美國護理指引對於躁狂病人的進食策略（Finger foods）非常具體且常考；台灣臨床雖然也知道要少量多餐，但有時會由家屬餵食或採取灌食，較少強調促進病人自主性的手指食物設計。