一位 45 歲患有廣泛性焦慮症的病患入院。病人在走廊來回踱步且呼吸急促，護理師應採取何種措施？
A 45-year-old client with a history of generalized anxiety disorder is admitted to the psychiatric unit. The client is pacing the hallway and breathing rapidly. Which nursing action is most appropriate?
- AAsk the client to explain the cause of their anxiety請個案解釋其焦慮的原因
- BAdminister the PRN sedative medication immediately立即給予備用鎮定藥物
- CInstruct the client to sit in their room to rest指示個案坐在房間內休息
- DSpeak to the client in a calm, low-pitched voice✓ 正解以平靜、低沉的語調與個案說話
面對焦慮升高的病人，提供穩定的環境與冷靜的溝通方式至關重要。低沈且冷靜的語調能降低病人的警覺狀態，避免過度刺激。強迫病人獨處可能會增加其不安；藥物為最後手段；在焦慮高峰期探討原因通常無助於緩解症狀，應先處理焦慮感。
For a patient with rising anxiety, providing a stable environment and a calm style of communication is crucial. A low and calm tone of voice can lower the patient's state of arousal and avoid excessive stimulation. Forcing the patient to be alone may increase distress; medication is a last resort; and exploring the cause of anxiety during the peak of an attack usually does not help relieve symptoms, so anxiety itself should be addressed first.
美台護理臨床對焦慮病人的減壓溝通原則一致，但美國法規對 PRN 用藥審查極為嚴格。