一位 25 歲患有廣泛性焦慮症的個案，主訴心悸、出汗與喪失控制感的恐懼。護理師首要採取的處置為何？
A 25-year-old client with a history of generalized anxiety disorder presents to the clinic reporting heart palpitations, sweating, and a fear of losing control. Which nursing intervention is the highest priority?
- AEncourage the client to talk about their feelings鼓勵個案談論其感受
- BInstruct the client to breathe slowly and deeply✓ 正解指示個案緩慢且深層地呼吸
- CAdminister the prescribed PRN anxiolytic medication給予處方之備用抗焦慮藥物
- DAsk the client to describe the triggers of the anxiety詢問個案描述焦慮的觸發因素
面對急性焦慮發作，護理師的首要任務是協助個案重新獲得生理平靜與心理穩定。腹式呼吸能有效調節交感神經，減緩心跳過速與換氣過度。在病人極度焦慮時，諮商或分析動機（D、A）會增加認知負擔，藥物（C）雖有效但非第一線非侵入性介入，應優先引導生理調節。
When confronting an acute anxiety episode, the nurse's primary task is to help the client regain physiological calm and psychological stability. Diaphragmatic breathing effectively modulates sympathetic nervous system activity, slowing tachycardia and hyperventilation. While the client is severely anxious, counseling or analyzing motivation (D, A) increases cognitive load; medication (C), though effective, is not a first-line non-invasive intervention, and physiologic regulation should be guided first.
美台護理臨床對於急性焦慮處理邏輯相似，但在台灣臨床環境常傾向於立即給予抗焦慮藥物以縮短評估時間。