護理師面對一位出現攻擊行為的病人，應優先採取什麼行動？
A nurse is caring for a client who is exhibiting aggressive behavior. Which action should the nurse take first?
- ACall for security assistance immediately立即尋求保全協助
- BMaintain a safe distance and de-escalate✓ 正解維持安全距離並降低衝突
- CAttempt to restrain the client to protect others嘗試約束病人以保護他人
- DPrepare to administer a sedative medication準備施用鎮靜藥物
面對攻擊行為，護理師的首要原則是「安全優先」。在採取任何強硬處置前，必須先與病人保持適當的「安全距離」，並運用去升級（De-escalation）技巧，例如冷靜語氣、傾聽、同理心，試圖降低病人的焦慮與攻擊動機。暴力處置（約束或鎮靜）僅在病人有立即傷害自己或他人之虞，且溝通無效時才作為最後手段（Last resort）。
When dealing with aggressive behavior, the nurse's primary principle is 'safety first.' Before resorting to any forceful intervention, the nurse must first maintain a safe distance from the client and use de-escalation techniques, such as a calm tone, active listening, and empathy, to reduce the client's anxiety and aggressive intent. Coercive measures (restraint or sedation) are reserved as a last resort, only when the client poses an immediate risk of harming themselves or others and communication has failed.