— 降低風險 · MEDIUM · MCQ —
護理師照護一位急性恐慌發作的病人，首要的護理處置為何？
A nurse is caring for a client experiencing an acute panic attack. What is the priority nursing intervention?
- AAdminister an oral sedative immediately立即給予口服鎮靜劑
- BEncourage the client to discuss the cause of the panic鼓勵病人討論恐慌的原因
- CLeave the client alone to regain control讓病人獨處以恢復控制力
- DStay with the client and offer reassurance✓ 正解陪伴病人並提供安慰
— Explanation · 中文詳解 —
恐慌發作時，病人的安全感極度喪失。護理師應留下來陪伴，給予支持與冷靜的安慰（reassurance），這能降低焦慮並維持安全。獨處會加重恐慌；藥物給予需醫師醫囑；急性期病人無法理智討論恐慌來源，需先穩定情緒再進行。
During a panic attack, the client's sense of safety is severely diminished. The nurse should remain with the client to provide support and calm reassurance, which lowers anxiety and maintains safety. Leaving the client alone worsens panic; medication administration requires a physician's order; and during the acute phase the client is unable to discuss the source of panic rationally and must first be emotionally stabilized.
✦ 台美臨床差異
兩地皆重視護理師在情緒危機處理中的存在價值，強調「陪伴（Presence）」的療效。