— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位恐慌發作(Panic attack)的病人。首要行動是什麼?
A nurse is caring for a client who is experiencing a panic attack. What should be the nurse's first action?
- AEncourage the client to go to the gymnasium to exercise.鼓勵病人到健身房運動
- BStay with the client and use short, simple sentences.✓ 正解陪伴病人並使用簡短、簡單的句子溝通
- CAsk the client to explain what triggered the attack.詢問病人解釋引發發作的誘因
- DLeave the client alone to allow them privacy to calm down.讓病人獨處以獲得隱私並冷靜下來
— Explanation · 中文詳解 —
恐慌發作時,病人的認知功能嚴重受限,無法處理複雜資訊。護理師應留在病人身邊(提供安全感),並使用簡短明確的語言。此時詢問誘因(C)會加重負擔;運動(A)不適合急性恐慌期;絕對不能讓病人獨處(D),因為其恐懼感會加劇。
During a panic attack, the client's cognitive function is severely impaired and cannot process complex information. The nurse should remain with the client (to provide a sense of safety) and use brief, clear language. Asking about triggers (C) at this time would add to the burden; exercise (A) is not appropriate during the acute panic phase; and the client should never be left alone (D), because their fear would intensify.
✦ 台美臨床差異
無。恐慌發作的處理原則在兩地一致,皆強調安全與減少刺激。