— 心理社會完整性 · HARD · SATA —
護理師評估一位剛被診斷為躁鬱症躁期的病人，應觀察到哪些行為？（選所有適合的）
A nurse is interviewing a client recently diagnosed with bipolar disorder, mania phase. Which behaviors should the nurse expect to observe? (Select all that apply.)
- APressured speech✓ 正解語速急促
- BDecreased need for sleep✓ 正解睡眠需求減少
- CPsychomotor retardation精神運動性遲滯
- DGrandiosity✓ 正解自大狂
- EFlight of ideas✓ 正解思維奔逸
— Explanation · 中文詳解 —
躁期主要症狀包括：言語急促、睡眠需求下降、誇大妄想、思維奔逸及注意力不集中。精神動作遲緩（選項 C）通常見於憂鬱症，而非躁期。這些症狀反映了神經傳導物質的過度興奮，導致病人自我控制能力下降，護理重心在於安全與行為規範。
Clients in the manic phase of bipolar disorder exhibit pressured speech, decreased need for sleep, grandiosity, and flight of ideas due to excessive neural activity. Psychomotor retardation is a symptom of depression, not mania. Nursing care focuses on ensuring safety and managing behavioral boundaries during this period of heightened excitability.
✦ 台美臨床差異
台灣針對躁期病人的強制住院與強制治療有嚴格的法規審查，護理師需了解《精神衛生法》規定。