一位 35 歲廣泛性焦慮症病史的個案，出現心跳加速與呼吸困難。哪項護理介入最能促進立即的平靜？
A 35-year-old client with a history of generalized anxiety disorder presents with rapid heart rate and shortness of breath. Which nursing intervention is most effective in promoting immediate calmness?
- AUse simple, calm, and concise communication✓ 正解使用簡單、平靜且簡潔的溝通方式
- BEncourage the client to discuss the source of anxiety鼓勵病人討論焦慮的來源
- CAdminister an as-needed sedative medication給予按需使用的鎮靜藥物
- DInstruct the client to breathe in a paper bag指示病人用紙袋呼吸
面對急性焦慮發作的個案，護理師應維持低刺激環境並使用簡短、冷靜的溝通方式來穩定病人的情緒。過度複雜的對話或強求病人分析焦慮源，反而會增加病人的認知負荷與焦慮感。紙袋呼吸已被證實不安全，藥物處置需視醫囑，非護理介入首選。
When facing a client in acute anxiety, the nurse should maintain a low-stimulus environment and use brief, calm communication to stabilize the patient's emotional state. Overly complex conversation or forcing the patient to analyze the source of their anxiety only increases cognitive load and feelings of anxiety. Breathing into a paper bag has been shown to be unsafe, and pharmacological treatment must be ordered by the physician and is not the nurse's first-line intervention.
台美護理師對於焦慮的應對標準一致，惟美國環境中對非藥物介入的運用更為頻繁且強調獨立性。