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心理社會完整性 · MEDIUM · MCQ

護理師正在照護一位經歷嚴重焦慮的病人。病人說:「我感覺我要死了。」護理師應首先採取下列何項行動?

A nurse is caring for a client experiencing severe anxiety. The client states, 'I feel like I'm going to die.' Which of the following actions should the nurse take FIRST?

  • AAdminister a prescribed anxiolytic medication.
    給予處方之抗焦慮藥物
  • BStay with the client and provide reassurance.✓ 正解
    陪伴個案並提供安慰
  • CEncourage deep breathing exercises.
    鼓勵進行深呼吸運動
  • DAsk the client to describe their specific fears.
    請個案描述其具體的恐懼
Explanation · 中文詳解

當病人經歷嚴重焦慮(Severe anxiety)並表達「瀕死感」時,首要任務是確保病人的安全與穩定情緒。護理師必須留在病人身邊(B),這能提供即時的心理支持與安全感,降低病人的恐慌程度。在病人情緒激動時,應先建立穩定環境,再進行後續的呼吸練習(C)或藥物處置(A)。若離開病人,可能導致其焦慮惡化至恐慌發作。

When a client experiences severe anxiety and expresses a sense of impending death, the first task is to ensure the client's safety and stabilize their emotions. The nurse must remain with the client (B); this provides immediate emotional support and a sense of safety and reduces the client's panic. When the client is emotionally agitated, a stable environment should be established before subsequent breathing exercises (C) or pharmacologic intervention (A). Leaving the client may allow the anxiety to deteriorate into a panic attack.

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