— 心理社會完整性 · HARD · MCQ —
一位被診斷為第一型雙極性疾患的個案入院，出現來回踱步與語速加快的躁期症狀。哪項護理措施為優先？
A client is admitted to the psychiatric unit with bipolar I disorder. The client is pacing and speaking rapidly. Which intervention is the priority?
- AEncouraging the client to join group therapy sessions鼓勵個案參加團體治療課程
- BProviding the client with nutritional, high-protein snacks✓ 正解提供營養豐富、高蛋白的點心
- CSetting clear, consistent limits on the client's behavior對個案的行為設定明確且一致的界線
- DAdministering mood stabilizers as ordered依醫囑給予情緒穩定劑
— Explanation · 中文詳解 —
雙極性疾患（Bipolar I）躁期個案常因活動量過大、說話速度快而忽略了基本的生理需求，如進食與休息。護理優先順序依循 Maslow 的需求層次理論，生理需求（營養、水分）優先於心理治療。提供高蛋白、方便攜帶的零食（Finger foods），是確保個案在不停踱步、無法久坐的情況下，仍能攝取足夠熱量與蛋白質的關鍵措施。
For a client in a manic phase of bipolar I disorder, physiological needs take priority over psychosocial interventions. Because the client is highly active and may not sit for meals, providing high-protein, portable snacks ensures adequate nutrition and hydration while respecting their need for movement.