一名 45 歲患有廣泛性焦慮症（GAD）的病人對日常生活事件表示頻繁擔憂。對於處於高度焦慮狀態的病人，最合適的護理介入為何？
A 45-year-old client diagnosed with generalized anxiety disorder (GAD) expresses frequent worry about daily life events. Which nursing intervention is most appropriate for a client in a state of high anxiety?
- AEncourage the client to discuss all worries in detail鼓勵病人詳細討論所有擔憂
- BUse deep breathing exercises immediately立即使用深呼吸練習
- CMaintain a calm, quiet, and non-stimulating environment✓ 正解維持安靜、平靜且無刺激的環境
- DProvide long, complex explanations about the diagnosis提供關於診斷的長篇複雜解釋
面對高度焦慮病人，護理首要目標是降低刺激源以恢復平靜。環境控制能減輕感官超載。深入探討擔憂（A）在焦慮急性期會增加負擔；過於複雜的解釋（D）病人無法吸收；深呼吸（B）雖有用，但若病人極度焦慮時可能無法配合執行，應先提供穩定環境。
When caring for a client with severe anxiety, the nurse's primary goal is to reduce stimuli and help restore calm. Controlling the environment reduces sensory overload. Discussing worries in depth (A) increases the burden during an acute anxiety episode; overly complex explanations (D) cannot be absorbed; and although deep breathing (B) is useful, an extremely anxious client may be unable to cooperate, so a stable environment must be provided first.
美國護理師常利用 Sensory Room，台灣病房環境較吵雜，護理師需更主動協助篩選訪客或調整燈光。