— 心理社會完整性 · MEDIUM · SATA —
護理師準備照顧一位躁狂發作的個案，哪些護理措施是適當的？（選所有適合的）
A nurse is preparing to care for a client who is experiencing a manic episode. Which nursing interventions are appropriate? (Select all that apply.)
- AProvide high-protein finger foods✓ 正解提供高蛋白的手指食物
- BSchedule frequent periods of high-intensity physical activity安排頻繁的高強度體育活動時間
- CMaintain a calm and structured environment✓ 正解維持平靜且有結構的環境
- DUse short, concise sentences when communicating✓ 正解溝通時使用簡短精確的句子
- ELimit the number of people in the room at one time✓ 正解限制同時在房間內的人數
— Explanation · 中文詳解 —
躁狂發作（Manic episode）的個案通常處於極度興奮、注意力不集中且耗能極高的狀態。護理目標在於維持生理需求（營養、水分）與環境穩定。提供可攜式（Finger foods）的高蛋白食物，能確保個案在躁動無法靜坐時仍能攝取足夠熱量。環境應維持簡潔、安靜且結構化，減少感官刺激，並以簡短明確的溝通方式避免個案情緒過度反應。
Appropriate interventions include providing high-protein finger foods to ensure nutrition during agitation, maintaining a calm and structured environment to reduce stimulation, using concise communication, and limiting the number of people present to decrease sensory overload.