一位 45 歲患有廣泛性焦慮症的病人出現呼吸急促，並表示有瀕死感。護理師應優先採取的介入措施為何？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid breathing and reports a feeling of impending doom. Which intervention is the priority for the nurse?
- AInstruct the client to breathe into a paper bag指示病人用紙袋呼吸
- BAdminister the prescribed PRN anxiolytic medication施用處方 PRN 抗焦慮藥物
- CRemain with the client and use a calm, firm voice✓ 正解留在病人身邊並使用平靜、堅定的語氣
- DTeach the client deep breathing exercises教導病人深呼吸練習
面對恐慌發作的病人，建立安全感與降低其不安情緒最為關鍵。護理師應在場提供鎮靜氛圍，透過肢體與言語傳達支持，避免病人因恐懼而加重換氣過度。A選項為過時且危險的建議，可能導致缺氧；B與D應在穩定病人焦慮狀態後再進行。
When caring for a client experiencing a panic attack, establishing a sense of safety and reducing the client's distress are the priorities. The nurse should remain with the client to provide a calming presence, conveying support through body language and voice, and avoiding worsening hyperventilation due to fear. Option A is an outdated and dangerous recommendation that may cause hypoxia; options B and D should be used only after the client's anxiety has been stabilized.
美國護理師常直接執行減壓引導，台灣臨床護理師常需優先回報醫師並給予 PRN 安神藥物。