一位 35 歲廣泛性焦慮症病史的客戶抱怨心悸並感到大難臨頭。護理師優先採取的行動為何？
A 35-year-old client with a history of generalized anxiety disorder presents with reports of palpitations and a sense of impending doom. Which action is the priority for the nurse?
- ATeach progressive muscle relaxation techniques教導漸進式肌肉放鬆技巧
- BStay with the client and provide a calm environment✓ 正解陪伴客戶並提供安靜的環境
- CAdminister an as-needed benzodiazepine給予處方之苯二氮平類藥物（按需使用）
- DEncourage the client to discuss the source of anxiety鼓勵客戶討論焦慮的來源
對於焦慮發作（Anxiety attack）的病人，護理師的首要任務是提供安全感與降低刺激。病人出現大難臨頭感（Impending doom）時，正處於恐慌狀態，認知功能下降。此時護理師的陪伴能給予病人穩定的心理支持，並建立治療性環境，幫助病人重新找回掌控感。在病人極度焦慮時，任何教學、藥物給予或諮商都應在病人情緒穩定後再進行。
For a client experiencing an anxiety attack, the nurse's first priority is to provide a sense of safety and reduce stimulation. A client with a sense of impending doom is in a state of panic with diminished cognitive function. The nurse's presence offers stable psychological support and establishes a therapeutic environment, helping the client regain a sense of control. When the client is severely anxious, any teaching, medication administration, or counseling should wait until the client's emotional state has stabilized.