一位 45 歲患有廣泛性焦慮症的個案，主訴心悸並感到有災難將至。護理師應優先採取何種治療性溝通策略？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic reporting heart palpitations and a feeling of impending doom. Which therapeutic communication strategy should the nurse use first?
- ATeach the client deep breathing exercises immediately立即教導個案深呼吸練習
- BEncourage the client to discuss the stressors at work鼓勵個案討論工作上的壓力源
- CRemain with the client and maintain a calm, quiet environment✓ 正解留在個案身邊並維持安靜平和的環境
- DAsk the client why they are feeling this way詢問個案為何會有這種感覺
面對焦慮發作的個案，首要之務是提供安全感。保持冷靜、陪伴在側並減少外部刺激能有效降低病人的不安。詢問原因（D）會增加壓力，教導技巧（A）需等待急性症狀緩解後較適宜，談論壓力源（B）則會轉移焦點且不適用於急性期。
For a client experiencing an anxiety attack, the priority is to provide a sense of safety. Remaining calm, staying at the bedside, and reducing external stimuli effectively decrease the client's distress. Asking about the cause (D) increases pressure; teaching techniques (A) is more appropriate once acute symptoms have subsided; and discussing stressors (B) shifts focus and is unsuitable in the acute phase.
美台護理師在處理急性焦慮時皆強調陪伴，台灣臨床常見會先詢問有無相關生理病史或過往藥物使用。