一位 45 歲患有廣泛性焦慮症的個案，表現出心跳過速與焦慮不安。護理師初步應採取哪種治療性溝通技巧？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid heart rate and apprehension. Which therapeutic communication technique should the nurse employ initially?
- AReassure the client that everything will be fine向個案保證一切都會好轉
- BChallenge the client's irrational fears挑戰個案的非理性恐懼
- COffer broad openings to encourage the client to express feelings✓ 正解提供寬廣的開場白以鼓勵個案表達感受
- DAsk specific closed-ended questions to gather facts詢問具體的封閉式問題以蒐集事實
面對焦慮個案，建立信任感與發洩情緒是首要任務。開放式問句能提供空間讓個案整理紊亂思緒。封閉式問句會阻斷表達；保證「沒事」屬於虛假安慰，會破壞信任關係；挑戰錯誤認知需在個案情緒穩定時進行，急性期不宜使用。
When working with an anxious client, establishing trust and allowing emotional ventilation are the top priorities. Open-ended questions provide the client space to organize their disordered thoughts. Closed-ended questions block expression; reassurance that "everything is fine" is false reassurance that undermines trust; challenging cognitive distortions should be done after the client's emotions have stabilized and is inappropriate during the acute phase.
美方強調個案中心取向；台灣臨床因護病比高，護理師常需快速評估病況，溝通技巧運用可能受限於工作負荷。