一位 45 歲患有廣泛性焦慮症的病人表示感到心悸並有大難臨頭之感。護理師首要介入措施為何？
A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations and a sense of impending doom. Which intervention is the priority for the nurse?
- AEncourage the client to verbalize their fears鼓勵客戶表達他們的恐懼
- BAdminister the prescribed PRN anxiolytic給予處方上的 PRN 抗焦慮藥物
- CReview the client's medication compliance檢視客戶的用藥順從性
- DInstruct the client to breathe slowly with the nurse✓ 正解指導客戶與護理師一起緩慢呼吸
面對急性焦慮發作，首要目標是緩解生理症狀並恢復病人控制感。透過引導式深呼吸可啟動副交感神經，幫助生理層面安定，為後續治療與心理溝通建立基礎。給藥需醫囑且需時間發揮效用；談話則需在病人情緒稍微穩定後較有效。
When managing an acute anxiety attack, the priority goal is to relieve physiologic symptoms and restore the client's sense of control. Guided deep breathing activates the parasympathetic nervous system and helps stabilize the client physiologically, providing a foundation for subsequent treatment and psychological communication. Medications require a provider's order and take time to take effect, while conversation is more effective once the client's emotions have settled.
美國護理師常受過引導放鬆技巧訓練並可獨立操作；台灣護理師常因病房忙碌而優先傾向通知醫師給藥。