一位 45 歲患有廣泛性焦慮症的個案至診所就診，主訴心悸與失眠。護理師應優先採取何種治療性溝通技巧？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic reporting frequent palpitations and insomnia. Which therapeutic communication technique should the nurse employ first?
- ATell the client that everything will be fine with treatment告訴個案經過治療後一切都會沒事的
- BSuggest deep breathing exercises to manage immediate anxiety建議進行深呼吸練習以管理立即的焦慮
- CAsk the client to describe what specifically triggered the latest episode詢問個案具體描述是什麼觸發了最近的一次發作
- DEncourage the client to express their feelings about these physical symptoms✓ 正解鼓勵個案表達對這些身體症狀的感受
面對焦慮個案，建立治療性關係並讓個案表達情緒是優先任務。透過開放式問句鼓勵其傾訴（Exploring/Giving Broad Openings），能讓個案整理思緒並降低焦慮感。C 項過早深入觸發點可能導致個案防衛；B 項屬於處理技巧，應在建立連結後進行；A 項為虛假的保證（False Reassurance），會阻礙治療性溝通。
When caring for an anxious client, establishing a therapeutic relationship and allowing the client to express emotions are the priorities. Using open-ended questions to encourage expression (exploring and giving broad openings) helps the client organize thoughts and reduce anxiety. Option C delves too quickly into triggers and may elicit defensiveness; option B is a coping technique to be used after rapport is established; option A is false reassurance, which obstructs therapeutic communication.
美護理教育極度強調 Communication 的過程而非診斷本身；台灣臨床受限於時間壓力，常傾向直接給予衛教與建議。