一名 28 歲有廣泛性焦慮症病史的客戶至診所就診，主訴心悸、出汗及瀕死感。護理師應優先採取的措施為何？
A 28-year-old client with a history of generalized anxiety disorder presents to the clinic reporting heart palpitations, sweating, and a feeling of impending doom. Which intervention is the priority for the nurse?
- AEncourage the client to discuss the source of anxiety鼓勵病人討論焦慮的來源
- BAdminister an as-needed benzodiazepine給予處方之苯二氮平類藥物（按需使用）
- CPerform a comprehensive head-to-toe physical assessment執行全面性的頭到腳身體評估
- DStay with the client and maintain a calm, quiet environment✓ 正解陪伴病人並維持安靜平和的環境
面對焦慮發作的客戶，安全感最為重要。保持冷靜、陪伴並創造安靜環境能降低客戶的刺激感，協助其恢復自主控制。B選項需有醫囑；A選項在急性焦慮時客戶難以專注分析；C選項雖重要，但在急性症狀期，優先緩解焦慮與情緒支持是關鍵，待情緒穩定後再進行詳細評估。
When facing a client during an anxiety attack, a sense of safety is paramount. Remaining calm, staying with the client, and creating a quiet environment reduces stimulation and helps the client regain self-control. Option B requires a physician's order; in option A, the client during acute anxiety has difficulty focusing on analysis; option C is important, but during the acute symptomatic period, relieving anxiety and providing emotional support are the priority, with a detailed assessment performed after the client is stabilized.
美國護理師依 protocol 使用去刺激化技巧；台灣臨床常見給藥以速效處置，心理護理常因忙碌而簡化。