病人正在經歷恐慌發作,護理師最優先的行動為何?
A client is experiencing a panic attack. Which action by the nurse is the priority?
- AAsk the client what triggered the panic詢問個案恐慌發作的觸發因素為何
- BTeach deep breathing exercises教導深呼吸練習
- CStay with the client and provide a calm environment✓ 正解陪伴個案並提供安靜的環境
- DAdminister PRN anxiolytic medication給予處方作為需要的抗焦慮藥物
恐慌發作(Panic attack)時,病人的認知功能極度受損,無法進行複雜學習或理性分析。此時護理師的首要行動是提供穩定感與安全感,留在病人身邊並營造低刺激環境(如減少光線、降低干擾)。這能協助病人情緒逐漸平復。待恐慌程度下降後,才能進行呼吸訓練、給藥或探索觸發因子,因為此時病人才能真正聽進去並執行教導。
During a panic attack, the patient's cognitive function is severely impaired, and they cannot engage in complex learning or rational analysis. At this time, the nurse's first action is to provide a sense of stability and safety, staying with the patient and creating a low-stimulation environment (such as reducing light and minimizing interruptions). This helps the patient's emotions gradually settle. Only after the level of panic has decreased can breathing exercises, medication administration, or exploration of triggers be undertaken, because only then can the patient actually take in and follow instructions.