一位 45 歲患有廣泛性焦慮症的個案表現出心悸、震顫及瀕死感。護理師應優先採取哪種治療性溝通技巧？
A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations, tremors, and a fear of impending doom. Which therapeutic communication technique should the nurse prioritize?
- AChallenge the client’s irrational thoughts immediately立即挑戰病患的非理性想法
- BProvide detailed explanations about the physiological effects of anxiety提供關於焦慮生理效應的詳細說明
- CEncourage the client to analyze the root cause of the anxiety鼓勵病患分析焦慮的根本原因
- DUse short, calm, and simple sentences to provide structure✓ 正解使用簡短、平靜且簡單的句子以提供結構
面對焦慮症狀明顯的個案，認知功能往往受到干擾，過多資訊或複雜的分析會加重壓力。使用簡短、冷靜的語句提供結構感，能幫助個案建立安全感，並降低當下的恐慌指數。深入分析與挑戰認知是後期認知行為治療的範疇，而非急性期首選。
For clients with prominent anxiety symptoms, cognitive function is often impaired, and excessive information or complex analysis adds stress. Using brief, calm statements provides structure, helps the client feel safe, and reduces the level of acute panic. In-depth analysis and cognitive challenge are appropriate later in cognitive behavioral therapy and are not the first choice in the acute phase.
美台護理師皆強調安全與穩定，但台灣臨床環境中護理師常需兼顧行政，結構化溝通需更精簡。