一位患有廣泛性焦慮症的 35 歲個案，出現呼吸急促、心跳過速及瀕死感。護理師優先採取的行動為何？
A 35-year-old client with a history of generalized anxiety disorder presents with rapid breathing, tachycardia, and a feeling of impending doom. What is the nurse's priority action?
- AStay with the client and maintain a calm, quiet environment✓ 正解陪伴個案並維持安靜平和的環境
- BAdminister an as-needed anxiolytic medication給予備用抗焦慮藥物
- CEncourage the client to deep breathe into a paper bag鼓勵個案用紙袋深呼吸
- DAsk the client to describe the specific cause of their anxiety詢問個案描述焦慮的具體原因
面對急性焦慮發作，首要任務是提供安全且穩定的陪伴。護理師應留在個案身邊，以溫和且肯定的態度降低其不安感。環境控制（減低刺激）能輔助個案平復。給藥通常是較後的手段；詢問病因會增加當下的心理壓力；紙袋呼吸已被證實可能導致缺氧，現行不建議。
When responding to an acute anxiety attack, the priority is to provide safe and stable presence. The nurse should remain at the client's side and use a calm, reassuring approach to reduce distress. Environmental control (decreasing stimuli) helps the client to regain composure. Medication administration is typically a later intervention; asking the client to identify the cause adds psychological pressure during the crisis; and breathing into a paper bag has been shown to potentially cause hypoxia and is no longer recommended.
美國心理衛生護理強調護理師的主動陪伴；台灣醫院環境因護理人力比重，常較難做到持續陪伴，多仰賴醫師開立鎮靜藥物。