一位 45 歲患有廣泛性焦慮症的個案，出現呼吸急促並報告有瀕死感。護理師首要採取哪項措施？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid breathing and reports a feeling of impending doom. Which action is the priority for the nurse?
- APerform a comprehensive physical assessment進行全面的身體評估
- BInstruct the client to breathe into a paper bag指示病人對著紙袋呼吸
- CRemain with the client and maintain a calm, quiet environment✓ 正解陪伴病人並維持安靜平和的環境
- DAdminister an as-needed dose of alprazolam給予處方劑量的阿普唑侖（alprazolam）
當個案出現恐慌發作（Panic Attack）時，其表現為過度換氣及瀕死感。此時護理師的首要行動是提供安全感與減少環境刺激。陪伴在側能降低個案的焦慮螺旋，而冷靜的態度有助於引導個案重新獲得情緒控制。其他選項如使用紙袋已不再建議，因為可能導致缺氧；給藥需醫師醫囑；而繁雜的身體評估會讓個案感到壓力倍增。
When a client experiences a panic attack, the presentation includes hyperventilation and a sense of impending doom. The nurse's first action is to provide a sense of safety and reduce environmental stimuli. Staying with the client lowers the spiral of anxiety, and a calm demeanor helps guide the client to regain emotional control. Other options, such as using a paper bag, are no longer recommended because they may cause hypoxia; medication requires a physician's order; and a complex physical assessment may further increase the client's stress.