一位 45 歲個案被診斷為廣泛性焦慮症。當個案處於恐慌層級焦慮時，下列哪項護理措施最適當？
A 45-year-old client is diagnosed with generalized anxiety disorder (GAD). Which nursing intervention is most appropriate for a client experiencing a panic-level anxiety attack?
- AAdminister PRN anxiolytic medication immediately立即給予處方備用抗焦慮藥物
- BEncourage the client to discuss the underlying cause of the anxiety鼓勵個案討論焦慮的根本原因
- CStay with the client in a calm, non-threatening manner✓ 正解以平靜、非威脅性的方式陪伴個案
- DTeach deep breathing exercises and relaxation techniques教導深呼吸練習和放鬆技巧
當個案處於恐慌層級焦慮（Panic-level anxiety）時，其認知功能與判斷力幾乎喪失，無法理解邏輯溝通或進行學習。此時護理師最重要的目標是「安全」。保持冷靜並留在個案身邊，能提供安全感並減少環境刺激，避免個案做出傷害自己或他人的行為。待焦慮層級下降至可溝通程度後，才能進一步進行心理諮商或衛教。
When a client is experiencing panic-level anxiety, cognitive function and judgment are essentially lost, and the client cannot follow logical communication or learn new skills. The most important nursing goal at this point is safety. Staying with the client calmly provides a sense of security and reduces environmental stimulation, preventing self-harm or harm to others. Once the anxiety level decreases to a point where communication is possible, psychological counseling and teaching can proceed.