— 心理社會完整性 · MEDIUM · SATA —
護理師照顧一位處於躁期（Manic state）的雙極性疾患病人，應監測哪些行為？（選所有適合的）
A nurse is caring for a client with Bipolar I disorder in a manic state. Which behaviors should the nurse monitor for? (Select all that apply.)
- AFlight of ideas✓ 正解意念飄忽
- BDecreased need for sleep✓ 正解睡眠需求減少
- CPsychomotor retardation精神運動遲緩
- DPressured speech✓ 正解語速急促
- EExcessive involvement in high-risk activities✓ 正解過度參與高風險活動
— Explanation · 中文詳解 —
雙極性疾患躁期（Manic state）的特徵包括情緒高昂、活動力過盛、衝動行為與思考混亂。常見行為包括思考跳躍（Flight of ideas）、言語急促（Pressured speech）、睡眠需求減少以及參與高風險活動（如過度消費、魯莽駕駛）。護理重點在於保護病人安全，防止其衝動行為造成自我傷害，並提供結構化環境。
Clients in a manic state exhibit increased energy, decreased need for sleep, pressured speech, flight of ideas, and engagement in high-risk activities. Nursing care must prioritize safety by monitoring for impulsivity and providing a structured environment to prevent harm.