— 降低風險 · MEDIUM · MCQ —
護理師照護一位急性恐慌發作的病人。優先行動為何？
A nurse is caring for a client experiencing an acute panic attack. Which action is the priority?
- AStay with the client and offer calm reassurance✓ 正解陪伴病人並提供冷靜的安慰
- BAsk the client to explain why they are panicking詢問病人為什麼會恐慌
- CEncourage the client to take deep, fast breaths鼓勵病人做深而快的呼吸
- DAdminister PRN anxiolytics給予備用抗焦慮藥物
— Explanation · 中文詳解 —
恐慌發作時，病人的恐懼感極強。護理師留下來陪伴並提供平靜、安全的環境是首要且最有效的處置，有助於降低病人焦慮。PRN 藥物雖有效，但需經評估；B 錯誤，發作時無法理性分析原因；C 錯誤，快速深呼吸會加重過度換氣引發暈厥。
During a panic attack, the client experiences intense fear. The nurse staying with the client and providing a calm, safe environment is the first and most effective intervention to help reduce the client's anxiety. Although PRN medications are effective, they require assessment first. Option B is incorrect, as the client is unable to rationally analyze causes during an attack. Option C is incorrect, as rapid deep breathing can worsen hyperventilation and cause dizziness or syncope.
✦ 台美臨床差異
兩國對急性焦慮的護理指導原則相似，均強調安全陪伴的重要性。