一位 45 歲廣泛性焦慮症病史的個案至門診，主訴持續失眠與心悸。護理師應先採取哪種治療性溝通技巧？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic reporting persistent insomnia and palpitations. Which initial therapeutic communication technique should the nurse employ?
- AEncourage the client to take an extra dose of their prescribed anxiolytic鼓勵病人服用額外劑量的處方鎮靜劑
- BReassure the client that these symptoms are common with anxiety向病人保證這些症狀在焦慮中很常見
- CAsk the client to describe what they are feeling in their own words✓ 正解請病人用自己的話描述其感受
- DSuggest that the client practice deep breathing exercises immediately建議病人立即練習深呼吸運動
面對焦慮症狀，首要任務是鼓勵表達以建立信任並釐清焦慮來源。開放式問句能讓病人主動敘述感受，評估其心理狀態的嚴重度，並非單純給予保證。給予不切實際的保證（B）會阻斷溝通，建議行為（D）應在評估後進行，醫囑用藥（A）不可由護理師擅自增加劑量。
When facing anxiety symptoms, the first priority is to encourage expression to build trust and clarify the source of anxiety. Open-ended questions allow the client to actively describe feelings and help assess the severity of the psychological state, rather than simply providing reassurance. Offering unrealistic reassurance (B) blocks communication; recommending behaviors (D) should occur after assessment; and the medication order (A) cannot be altered by the nurse to increase the dose at will.
美台護理教育均強調溝通技巧，但在忙碌的台灣臨床環境中，往往容易跳過探索階段直接進入衛教。