一位 25 歲廣泛性焦慮症病史的個案，主訴心悸、震顫及瀕死感。護理師應優先採取的介入措施為何？
A 25-year-old client with a history of generalized anxiety disorder presents to the clinic reporting heart palpitations, tremors, and a sense of impending doom. Which intervention is the priority?
- AInstruct the client to breathe into a paper bag指導病人用紙袋呼吸
- BEncourage the client to talk about their fears鼓勵病人談論其恐懼
- CAdminister an as-needed benzodiazepine給予處方苯二氮平類藥物（按需）
- DRemain with the client and maintain a calm demeanor✓ 正解陪伴病人並保持鎮定態度
面對急性焦慮發作，首要任務是提供安全環境與穩定情緒。護理師在場陪伴能減少病人的孤獨感與失控感，並透過冷靜態度緩解恐慌。紙袋呼吸法已被現代醫學淘汰，因有缺氧風險。藥物需醫囑且非首選，談論恐懼應在情緒穩定後進行。
When facing an acute anxiety attack, the primary task is to provide a safe environment and emotional stability. The nurse's continuous presence reduces the client's sense of loneliness and loss of control, while a calm demeanor helps relieve panic. Breathing into a paper bag has been abandoned in contemporary medical practice because of the risk of hypoxia. Medication requires a physician's order and is not the first choice, and discussing fears should occur only after emotional stability is achieved.
美台對於護理師在恐慌發作時的陪伴角色一致，但美國法規對使用紙袋呼吸的禁用宣導更為普及。