一位 25 歲患有廣泛性焦慮症的個案至門診求助,主訴持續失眠與心悸。請問護理師應優先採取的治療性介入措施為何?
A 25-year-old client with a history of generalized anxiety disorder presents to the clinic reporting persistent insomnia and palpitations. Which initial therapeutic intervention is most appropriate?
- ATeach deep breathing and relaxation techniques✓ 正解教導深呼吸與放鬆技巧
- BEncourage the client to avoid all caffeine intake鼓勵病人避免攝取所有咖啡因
- CRefer the client for cognitive behavioral therapy轉介病人接受認知行為治療
- DAdminister an as-needed benzodiazepine給予處方之苯二氮平類藥物(按需使用)
面對焦慮引發的身體症狀,首要任務是協助個案緩解當下的生理壓力反應。深呼吸與肌肉放鬆練習屬於非侵入性的即時緩解手段,能有效降低交感神經活性,幫助個案恢復平靜。其他選項如藥物給予需醫師醫囑,心理諮商與生活習慣調整則屬於長期處置計畫。
When dealing with physical symptoms triggered by anxiety, the first task is to help the client relieve the immediate physiologic stress response. Deep breathing and muscle relaxation exercises are noninvasive immediate-relief techniques that effectively reduce sympathetic nervous activity and help the client become calm. Other options, such as administering medication, require a provider's order, while psychological counseling and lifestyle adjustments belong to long-term management plans.
美國護理師在心理衛生領域有更多自主權執行壓力減緩技巧;台灣護理師執行此類介入常需搭配醫師評估。