一位 45 歲廣泛性焦慮症病人表示害怕失去控制。在急性發作期，下列哪項護理措施最能促進其心理社會完整性？
A 45-year-old client diagnosed with generalized anxiety disorder expresses fear of losing control. Which nursing intervention is most appropriate to promote psychosocial integrity during an acute attack?
- AInstruct the client to remain alone to reduce stimulation指示個案獨處以減少刺激
- BEncourage the client to explore the root cause of the anxiety鼓勵個案探索焦慮的根本原因
- CAdminister PRN anxiolytics before attempting communication在嘗試溝通前給予備用抗焦慮藥物
- DSpeak in short, clear, and calm sentences✓ 正解使用簡短、清晰且平靜的語句說話
面對焦慮急性發作，護理師應提供穩定且明確的引導。過長的句子會增加病人認知負荷，平靜而簡短的指令能有效緩解混亂感，協助病人重拾心理控制感。探討深層病因（B）應留待焦慮減輕後進行，此時處理會加重病人心理壓力。
During an acute anxiety attack, the nurse should provide stable and clear guidance. Long sentences increase the client's cognitive load; calm, brief instructions effectively relieve disorientation and help the client regain a sense of psychological control. Exploring the underlying cause of anxiety (B) should be deferred until anxiety subsides, since addressing it during the acute episode would increase the client's psychological burden.
美國護理師依據專業自主權進行危機溝通；台灣基層醫療中可能更依賴醫囑給予 PRN 安眠藥物以緩解症狀。