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心理社會完整性 · MEDIUM · SATA

照護恐慌發作的病人時,下列哪些介入措施是適當的?(選所有適合的)

Which of the following interventions are appropriate when caring for a client experiencing a panic attack? (Select all that apply.)

  • AMaintain a calm and firm demeanor✓ 正解
    保持冷靜且堅定的態度
  • BProvide clear, simple, and direct instructions✓ 正解
    提供清晰、簡單且直接的指示
  • CLeave the client alone to reduce environmental stimuli
    讓個案獨處以減少環境刺激
  • DEncourage the client to hyperventilate to release energy
    鼓勵個案換氣過度以釋放能量
  • EStay with the client throughout the attack✓ 正解
    在整個發作期間陪伴個案
Explanation · 中文詳解

恐慌發作時,病人感受到失控感。護理師需維持冷靜以穩定病人,運用簡單指令引導其專注。持續陪伴能提供安全感,降低恐懼。選項 C 會增加被拋棄感與恐慌;選項 D 換氣過度會加劇呼吸性鹼中毒與頭暈,應教導腹式呼吸而非換氣。

During a panic attack, the client experiences a sense of loss of control. The nurse should remain calm to stabilize the client, use simple instructions to guide focus, and stay with the client to provide a sense of safety and reduce fear. Option C increases feelings of abandonment and panic. Option D would worsen respiratory alkalosis and dizziness; instead, the client should be taught diaphragmatic breathing rather than encouraged to hyperventilate.

✦ 台美臨床差異

兩地照護原則相同;美國護理師常依 Protocol 監測生命徵象,台灣護理師亦同,但在急性期給予鎮靜藥物的時機略有差異。

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