一位 45 歲患有廣泛性焦慮症的個案，主訴心跳加速與呼吸困難。在急性發作期，護理師應採取的最適當介入為何？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid heart rate and shortness of breath. Which nursing intervention is most appropriate during the acute phase?
- AEncourage the client to discuss the root cause of the anxiety鼓勵病人討論焦慮的根本原因
- BUse short, simple sentences to communicate✓ 正解使用簡短、簡單的句子進行溝通
- CLeave the client alone to provide privacy讓病人獨處以提供隱私
- DAdminister an PRN sedative immediately立即給予處方備用（PRN）鎮靜劑
急性焦慮發作（Acute anxiety attack）時，個案的認知功能會因恐懼與生理反應而急劇下降，無法處理複雜資訊。護理師的核心目標是降低環境刺激並提供安全感。使用簡短、結構明確的語句能減輕個案的認知負荷，幫助其恢復對現狀的控制感。臨床上應避免在個案情緒極度不穩時進行深度心理分析，這反而會增加其焦慮。安全第一原則下，絕對不能將個案單獨留置，以免發生意外或自殺行為。
During an acute anxiety attack, the client's cognitive function declines sharply due to fear and physiologic responses, making it impossible to process complex information. The nurse's core goals are to reduce environmental stimulation and provide a sense of safety. Using short, clearly structured sentences reduces the client's cognitive load and helps restore a sense of control over the current situation. In clinical practice, deep psychological analysis should be avoided when the client is emotionally unstable, as it can actually increase anxiety. Under the safety-first principle, the client must never be left alone, in order to prevent accidents or suicidal behavior.