一位 25 歲患有廣泛性焦慮症的個案來到診所，主訴心悸與顫抖。下列哪項護理師的初步回應最具治療性？
A 25-year-old client with a history of generalized anxiety disorder presents to the clinic with reports of heart palpitations and trembling. Which initial response by the nurse is most therapeutic?
- ATell the client to take deep breaths to calm down告訴個案深呼吸以平靜下來
- BAsk the client to describe what they are feeling right now✓ 正解詢問個案描述他們現在的感覺
- CAssure the client that they are safe in the clinic向個案保證他們在診所是安全的
- DAdminister the prescribed PRN anxiolytic medication給予處方備用抗焦慮藥物
治療性溝通的核心原則在於先傾聽與探索。透過邀請個案描述當下感受，護理師能評估其焦慮程度並建立信任，而非直接給予指令或藥物。A 是指令；C 是醫療行為；D 的保證雖有安撫作用，但優先級不如探索問題核心。
The core principle of therapeutic communication is to listen and explore first. By inviting the client to describe their current feelings, the nurse can assess the level of anxiety and establish trust, rather than immediately issuing directives or medications. Option A is a directive; option D is a medical intervention; and although option C offers reassurance, it is of lower priority than first exploring the core of the problem.
美護理師較強調治療性溝通技巧（Therapeutic Communication）；台灣臨床因病患量大，常過早直接採取生理處置。