NurslixJournal
心理社會完整性 · HARD · MCQ

護理師照護一位正經歷躁狂發作的病人。下列哪項評估結果需要立即處置?

A nurse is caring for a client who is experiencing a manic episode. Which assessment finding requires immediate intervention?

  • AExcessive spending
    過度消費
  • BDehydration and lack of sleep✓ 正解
    脫水和缺乏睡眠
  • CPressured speech
    言語急促
  • DGrandiosity
    自大
Explanation · 中文詳解

躁狂發作(manic episode)的病人常因過度興奮而忽略生理需求,如進食、飲水與睡眠。脫水與睡眠剝奪會導致電解質失衡、衰竭甚至心律不整,對病人的生命構成直接威脅,必須優先於心理症狀進行處置。誇大想法、言語急促與衝動消費雖然是典型的躁狂症狀,但在急性期,生理功能的維持是生存的首要優先(ABC 原則)。

During a manic episode, clients often neglect physiological needs such as eating, drinking, and sleeping. Dehydration and sleep deprivation can lead to electrolyte imbalances, exhaustion, and cardiac arrhythmias, posing a direct threat to life that takes priority over psychological symptoms according to ABC principles.

Related · 同分類的其他題目

More from Psychosocial Integrity

瀏覽全部 1,264 題 心理社會完整性 →
Jump to another chapter