一名 45 歲患有廣泛性焦慮症的個案因持續憂慮及肌肉緊繃至門診就診。針對急性焦慮發作的個案,哪項護理措施最適當?
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic with reports of constant worry and muscle tension. Which nursing intervention is most appropriate for a client during an acute anxiety attack?
- AProvide a structured, calm, and quiet environment✓ 正解提供結構化、安靜且平和的環境
- BDiscuss the underlying causes of the client's anxiety討論病人焦慮的根本原因
- CAsk the client to list all current life stressors請病人列出目前所有的壓力源
- DEncourage the client to analyze their thoughts deeply鼓勵病人深入分析其想法
面對急性焦慮發作,首要目標是減少環境刺激以協助個案平復情緒。過多刺激會使焦慮加劇。過早挖掘潛在原因或進行認知分析,會增加個案負擔,應在焦慮平復後再進行。護理師應展現專業且冷靜的態度,營造安全氛圍,幫助個案恢復對情境的控制感。
When responding to an acute anxiety attack, the primary goal is to reduce environmental stimulation to help the client regain composure. Excessive stimulation worsens anxiety. Exploring underlying causes or engaging in cognitive analysis too early adds to the client's burden and should be undertaken only after anxiety has subsided. The nurse should demonstrate a professional, calm demeanor and create an atmosphere of safety that helps the client regain a sense of control over the situation.
美台皆強調減少刺激;台灣臨床常因病房吵雜,護理師需更主動協助移至安靜區域。