一位 45 歲患有廣泛性焦慮症的個案表現出心跳過快及瀕死感，護理師應優先採取哪項措施？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid heart rate and a feeling of impending doom. Which intervention is most appropriate for the nurse to perform first?
- AAdminister an as-needed dose of alprazolam給予處方之阿普唑侖（按需使用）
- BInstruct the client to breathe slowly into a paper bag指示客戶向紙袋中緩慢呼吸
- CRemain with the client and maintain a calm, quiet environment✓ 正解留在客戶身邊並維持安靜、平靜的環境
- DEncourage the client to discuss the source of their anxiety鼓勵客戶討論其焦慮的來源
面對急性焦慮發作的病人，護理師的首要任務是確保環境安全與給予心理支持。陪伴在側能有效降低病人的孤立感與不安，並透過安靜環境減少感官刺激，有助於情緒平復。呼吸訓練與藥物應在評估後進行，而非第一步驟；深談壓力源需待病人情緒穩定後再進行。
When caring for a client experiencing an acute anxiety episode, the nurse's first priority is to ensure environmental safety and provide psychological support. Remaining at the bedside effectively reduces the client's feelings of isolation and distress, and a quiet environment lessens sensory stimulation and helps the client regain emotional stability. Breathing exercises and medication should be implemented only after assessment rather than as the initial step; in-depth discussion of stressors should wait until the client's emotions have stabilized.
台美在急性焦慮處理原則一致，皆強調陪伴與環境控制，唯台灣基層醫療藥物給予流程較簡化。