— 心理社會完整性 · MEDIUM · MCQ —
護理師正在照顧一位經歷躁狂發作的客戶。下列哪項護理措施應優先採取以確保其安全？
A nurse is caring for a client who is experiencing a manic episode. Which nursing intervention should be prioritized to ensure client safety?
- AAllow the client to pace in the hallway for physical release允許病人在走廊踱步以釋放體力
- BProvide a structured, low-stimulation environment✓ 正解提供結構化、低刺激的環境
- CConfront the client about their unrealistic grandiose thoughts直接指責病人不切實際的誇大想法
- DEncourage the client to participate in group social activities鼓勵病人參與團體社交活動
— Explanation · 中文詳解 —
躁狂期病人感官敏銳且易受刺激，過多外在刺激會加劇躁動。提供結構化且低刺激的環境（如安靜房間、減少互動複雜度）能有效穩定病人情緒。A 會增加體能消耗而非平靜；D 會造成過度興奮；C 會引發爭執導致防衛反應。
Providing a structured, low-stimulation environment is the priority intervention to help regulate the client's manic energy and prevent overstimulation. High-stimulus activities or confrontation can exacerbate agitation and aggression, whereas a calm setting promotes emotional stability and safety.
✦ 台美臨床差異
台灣病房常受限於空間，躁動病人多隔離於保護室，美國則強調減刺激的 milieu therapy，兩者目的均為保護。