護理師正在照護一位經歷嚴重焦慮的病人。病人無法靜坐，且不停地搓揉雙手。護理師應首先實施哪項介入措施？
A nurse is caring for a client experiencing severe anxiety. The client is unable to sit still and is wringing their hands. Which intervention should the nurse implement FIRST?
- AProvide a quiet, non-stimulating environment.✓ 正解提供安靜、非刺激的環境。
- BTeach relaxation techniques.教導放鬆技巧。
- CEncourage the client to verbalize their feelings.鼓勵病人口述其感受。
- DAdminister a prescribed anxiolytic medication.給予處方的抗焦慮藥物。
面對嚴重焦慮（Severe Anxiety）的病人，護理措施必須遵循「安全性（Safety）」與「環境控制」優先原則。嚴重焦慮會導致病人感官過載（Sensory Overload），此時病人難以專注於溝通或學習技巧。第一步應是減少外部環境刺激，幫助病人降低生理喚醒（Physiological Arousal），待病人冷靜後，才能進行後續的評估或教育。
For clients with severe anxiety, nursing interventions must follow the principle of 'safety' and environmental control first. Severe anxiety causes sensory overload, and the client has difficulty focusing on communication or learning techniques. The first step is to reduce external environmental stimuli to help lower the client's physiological arousal; only after the client has calmed down can subsequent assessment or education proceed.