一位 45 歲個案被診斷為廣泛性焦慮症,急性期護理應優先採取何種措施?
A 45-year-old client is diagnosed with generalized anxiety disorder (GAD). The nurse should prioritize which intervention during the acute phase?
- AProvide a calm, quiet, and low-stimulation environment✓ 正解提供安靜、低刺激的環境
- BTeach deep breathing techniques教導深呼吸技巧
- CAdminister anxiolytic medications as ordered依醫囑給予抗焦慮藥物
- DEncourage the client to discuss the source of anxiety鼓勵病人討論焦慮的來源
廣泛性焦慮症(GAD)急性發作時,個案常處於過度喚醒(Hyperarousal)狀態,感官敏感度極高。優先介入措施應是提供一個平靜、安全且低刺激的環境(Low-stimulation environment),這能有效降低個案的外在焦慮源,協助其恢復冷靜。在情緒平穩後,才能進一步進行呼吸訓練或藥物治療,談論焦慮源則可能在情緒不穩時引發反效果。
During an acute episode of generalized anxiety disorder (GAD), the client is often in a state of hyperarousal with heightened sensory sensitivity. The priority intervention is to provide a calm, safe, low-stimulation environment, which effectively reduces external anxiety triggers and helps the client regain composure. Only after emotional stabilization should breathing exercises or pharmacological treatment be introduced. Discussing the source of anxiety during an unstable emotional state may be counterproductive.