一位 45 歲患有廣泛性焦慮症的個案，出現心跳加速與呼吸短促。護理師觀察到該個案在室內踱步且無法靜坐。下列哪項護理措施為優先？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid heart rate and shortness of breath. The nurse observes the client pacing and unable to sit still. Which intervention is the priority?
- AReduce environmental stimuli✓ 正解降低環境刺激
- BAdminister an ordered PRN sedative給予處方之備用鎮靜劑
- CEncourage deep breathing exercises鼓勵深呼吸運動
- DAsk the client to explain their fears請個案解釋其恐懼
面對焦慮急性發作（Panic attack）的病人，護理師的首要任務是降低環境刺激（Reduce environmental stimuli），以幫助病人重新建立安全感並降低激動情緒。過多的感官刺激（如噪音、旁人圍觀）會加重病人的認知負擔，使其無法冷靜。待病人情緒穩定後，方可進行呼吸訓練或評估焦慮原因。
For a client in acute anxiety (panic attack), the nurse's first priority is to reduce environmental stimuli in order to help the client re-establish a sense of safety and decrease agitation. Excessive sensory input (such as noise or bystanders) increases the client's cognitive load and prevents them from calming down. Only after the client has stabilized can breathing exercises be introduced or the cause of anxiety be explored.