一位 45 歲患有廣泛性焦慮症的病人，主訴心悸、震顫及強烈的瀕死感。護理師應優先採取什麼措施？
A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations, tremors, and a sense of impending doom. Which intervention should the nurse implement first?
- ATeach the client deep breathing exercises教導病人深呼吸運動
- BStay with the client and maintain a calm environment✓ 正解陪伴病人並維持安靜的環境
- CAdminister the prescribed PRN anxiolytic medication給予醫師處方的 PRN 抗焦慮藥物
- DEncourage the client to ventilate their feelings鼓勵病人抒發感受
面對急性焦慮（Acute anxiety）發作的病人，護理師的第一優先任務是提供「心理安全感」。病人處於瀕死感（Sense of impending doom）時，護理師留在身邊能傳達支持，減少病人的恐懼，並建立治療性關係。在病人情緒激動時，提供一個安靜、低刺激的環境（Calm environment）是進行任何衛教或藥物介入前的必要基礎。
When facing a client with an acute anxiety attack, the nurse's first priority is to provide a sense of psychological safety. When the client is experiencing a sense of impending doom, the nurse's presence conveys support, reduces fear, and establishes a therapeutic relationship. While the client is emotionally agitated, providing a quiet, low-stimulation calm environment is an essential foundation that must precede any teaching or pharmacological intervention.