— 心理社會完整性 · HARD · SATA —
護理師照顧躁期發作的病人時，應採取哪些措施？（選所有適合的）
Which of the following actions should the nurse take when caring for a client experiencing a manic episode? (Select all that apply.)
- AProvide high-calorie, finger foods✓ 正解提供高熱量、手指食物
- BEncourage the client to socialize with other patients鼓勵病人與其他病患社交
- CMaintain a low-stimulation environment✓ 正解維持低刺激環境
- DSet clear, consistent limits on inappropriate behavior✓ 正解對不當行為設定明確且一致的界限
- ESchedule frequent periods of vigorous exercise安排頻繁的劇烈運動時間
— Explanation · 中文詳解 —
躁期病人因活動量大且容易分心，需攝取熱量高的指食以維持能量。低刺激環境能降低躁動；護理師需設立明確界線以建立結構。B 錯誤：過度社交會增加過度刺激。E 錯誤：避免激烈運動以免進一步增加心肺負荷及亢奮狀態。
Clients in a manic episode require high-calorie finger foods to maintain nutrition due to their high activity levels and distractibility. The nurse should maintain a low-stimulation environment and set clear, consistent limits on behavior to provide structure and reduce agitation. Socializing with other patients and vigorous exercise should be avoided as they can increase overstimulation and energy levels.
✦ 台美臨床差異
美國急性精神科病房強調行為契約（Behavioral Contracting）；台灣則較依賴藥物治療與保護管束措施。