— 心理社會完整性 · MEDIUM · SATA —
護理師照護躁期病人時，下列哪些介入是適當的？（選所有適合的）
A nurse is caring for a client experiencing a manic episode. Which nursing interventions are appropriate? (Select all that apply.)
- AProvide high-calorie, finger foods✓ 正解提供高熱量、手指食物
- BLimit the number of clients in the room✓ 正解限制病房內的病人數量
- CEngage the client in a competitive game讓病人參與競爭性遊戲
- DDecrease environmental stimulation✓ 正解減少環境刺激
- ESet firm, consistent limits on behavior✓ 正解對行為設定堅定且一致的界線
— Explanation · 中文詳解 —
躁期（Manic episode）病人因活動力過旺、注意力分散，易忽略基本生理需求（熱量消耗極大、水分攝取不足）。護理重點包括提供易攜帶的高熱量食物以補充能量、減少環境刺激以降低激動、設立明確的行為界線以維護安全。避免競爭性遊戲，因為這會激發病人的勝負慾，導致情緒更加亢奮與衝突。護理師應保持堅定、冷靜且一致的態度進行照護。
Appropriate interventions for a client in a manic episode include providing high-calorie finger foods to meet increased metabolic needs, limiting the number of people in the room, decreasing environmental stimulation, and setting firm, consistent behavioral limits. Competitive games should be avoided as they may exacerbate agitation and aggression.