— 心理社會完整性 · MEDIUM · MCQ —
護理師正在照護一位經歷恐慌發作的病人。病人報告有不祥預感，最恰當的護理介入措施是什麼？
A nurse is caring for a client experiencing panic attacks. The client reports feeling a sense of impending doom. Which nursing intervention is MOST appropriate?
- AProvide a quiet, safe environment and stay with the client.✓ 正解提供安靜、安全的环境並陪伴客戶。
- BTell the client there is nothing to be afraid of.告訴客戶沒什麼好害怕的。
- CInstruct the client to take rapid, shallow breaths.指示客戶進行快速淺呼吸。
- DEncourage the client to focus on the feeling of impending doom.鼓勵客戶專注於不祥預感的感覺。
— Explanation · 中文詳解 —
恐慌發作 (Panic attacks) 時，病人會經歷強烈的生理與心理不適，甚至產生瀕死感。護理師的首要任務是確保病人安全並降低環境刺激。陪伴病人 (Stay with the client) 是緩解恐懼最強而有力的非藥物介入，能提供病人當下的安全感，幫助其恢復現實感。此時應避免給予複雜建議，並維持冷靜、簡短的對話。
During a panic attack, the client experiences intense physiologic and psychological distress, including a sense of impending doom. The nurse's first priority is to ensure safety and reduce environmental stimuli. Staying with the client provides immediate reassurance and helps restore reality orientation. Avoid complex instructions and maintain calm, brief communication.