一名 45 歲焦慮症病人表達有瀕死感。護理師應使用下列哪種溝通技巧最有效？
A 45-year-old client diagnosed with generalized anxiety disorder expresses feelings of impending doom. Which therapeutic communication technique is most effective for the nurse to use?
- ADistract the client by discussing their favorite hobby透過討論其最喜愛的嗜好來分散病人注意力
- BReassure the client that everything will be fine向病人保證一切都會沒事的
- CAcknowledge the client's feelings and sit with them quietly✓ 正解認可病人的感受並安靜地陪伴
- DAsk the client why they are feeling this way詢問病人為何會有這種感覺
面對焦慮症病人的恐慌感，給予存在性的陪伴與同理心最為關鍵。非評斷性的陪伴能提供安全感。B 屬於錯誤的安撫（false reassurance），會阻斷溝通；B 使用「為什麼」會讓病人感到被質問與防衛；D 轉移焦點會讓病人覺得感受被忽略。
When a client with an anxiety disorder experiences a sense of impending doom, existential presence and empathy are essential. Nonjudgmental presence provides a sense of safety. Option B is false reassurance and blocks communication; option D uses "why," which can make the client feel interrogated and defensive; option A shifts focus and makes the client feel their experience has been dismissed.
美方護理教育強調治療性溝通技巧（therapeutic communication）；台灣臨床環境常因工作量繁重，較難執行長時間的靜默陪伴。