一名 25 歲患有廣泛性焦慮症的客戶來到診所，主訴心悸和呼吸短促。護理師觀察到客戶正在踱步且語速急促。護理師應優先採取哪項行動？
A 25-year-old client with generalized anxiety disorder presents to the clinic reporting palpitations and shortness of breath. The nurse notes the client is pacing and speaking rapidly. Which action is the priority for the nurse?
- ATeach the client relaxation techniques such as guided imagery教導客戶放鬆技巧，例如引導式想像
- BInstruct the client to breathe slowly into a paper bag指示客戶用紙袋緩慢呼吸
- CProvide a calm, quiet, and non-stimulating environment✓ 正解提供安靜、平和且無刺激的環境
- DAdminister an as-needed dose of an antianxiety medication給予處方備用的抗焦慮藥物劑量
處理焦慮急性發作時，首要護理目標是降低環境刺激以減緩焦慮上升。環境單純化能幫助客戶重新建立自我控制感與安全感，為後續介入奠定基礎。過度干預或過快教導技巧在高度焦慮階段通常無效，優先建立低刺激環境是最安全且有效的處置。
When managing an acute exacerbation of anxiety, the primary nursing goal is to reduce environmental stimuli in order to slow the rise of anxiety. Simplifying the environment helps the client re-establish a sense of self-control and safety, providing a foundation for further interventions. Excessive intervention or attempts to teach techniques too quickly are generally ineffective during periods of high anxiety; establishing a low-stimulation environment first is the safest and most effective intervention.
美國護理師常利用環境調整作為首要心理支持；台灣臨床多依賴藥物介入，環境調整常被忽略。