一位 45 歲廣泛性焦慮症病人表示害怕失控。下列何種護理措施最具有治療性？
A 45-year-old client diagnosed with generalized anxiety disorder expresses fear of losing control. Which nursing intervention is most therapeutic?
- AAdminister PRN anxiolytic medication immediately立即施用備用抗焦慮藥物
- BEncourage the client to discuss the source of anxiety in detail鼓勵病人詳細討論焦慮來源
- CStay with the client and maintain a calm, structured environment✓ 正解陪伴病人並維持冷靜、結構化的環境
- DRedirect the client to a different activity to distract them引導病人從事其他活動以分散注意力
面對焦慮感，陪伴能提供安全感。保持冷靜與結構化環境能降低外部刺激，讓病人感到被接納且安全，進而穩定情緒。深入討論源頭在急性焦慮時可能造成壓力增加；藥物非首選，應先採非藥物干預；轉移注意力雖可行，但陪伴才是焦慮症的核心護理處置。
When facing anxiety, the nurse's presence provides a sense of safety. Maintaining a calm, structured environment reduces external stimulation, helps the client feel accepted and safe, and stabilizes emotions. In-depth exploration of the source of anxiety may increase distress during the acute phase; medication is not the first-line intervention, and non-pharmacologic measures should be tried first; while distraction can be helpful, presence remains the core nursing intervention for anxiety disorders.
美國護理師在心理衛生照護中更強調治療性人際關係（Peplau理論）；台灣因人力限制，常以藥物或單次衛教介入為主。