一位 28 歲廣泛性焦慮症個案表現出說話急促與走動不安。護理師最具治療性的初步介入為何？
A 28-year-old client with generalized anxiety disorder presents with rapid speech and pacing. What is the nurse's most therapeutic initial intervention?
- AAsk the client to explain the source of the anxiety請個案說明焦慮的來源
- BEncourage the client to sit down and try to relax鼓勵個案坐下並嘗試放鬆
- CProvide a quiet, low-stimulation environment✓ 正解提供安靜、低刺激的環境
- DAdminister the prescribed PRN anxiolytic medication給予處方的 PRN 抗焦慮藥物
廣泛性焦慮症（GAD）個案在焦慮發作時，常表現出交感神經亢奮，如說話急促、坐立難安。此時護理師的首要任務是提供一個低刺激（Low-stimulation）的環境，減少外界噪音或視覺干擾，幫助個案平復情緒。直接要求個案坐下或強制放鬆可能適得其反，因為個案當下無法控制焦慮。初步介入應著重於環境調整，待個案情緒稍微穩定後，再進行進一步的評估或教育。
Patients with generalized anxiety disorder (GAD) often exhibit sympathetic hyperactivity during an anxiety episode, such as rapid speech and restlessness. The nurse's first task is to provide a low-stimulation environment, reducing external noise and visual distractions to help the patient calm down. Asking the patient to sit down or forcing relaxation directly may be counterproductive, as the patient cannot control the anxiety at that moment. Initial intervention should focus on environmental adjustment, followed by further assessment or teaching once the patient's emotions have stabilized somewhat.