— 心理社會完整性 · EASY · MCQ —
一位 25 歲患有廣泛性焦慮症的病人來到診所，表示心悸且有大難臨頭的感覺。護理師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 and a feeling of impending doom. Which intervention is the priority for the nurse?
- AAdminister an PRN anxiolytic medication給予處方標示用藥之抗焦慮藥物
- BStay with the client in a quiet environment✓ 正解陪伴病人於安靜環境中
- CEncourage the client to discuss the source of anxiety鼓勵病人討論焦慮的來源
- DTeach deep breathing techniques教導深呼吸技巧
— Explanation · 中文詳解 —
面對焦慮發作（panic attack）的病人，護理師應先提供安全感並減少環境刺激。陪伴病人能降低被拋棄感與恐懼，並建立治療性關係。其他選項如教呼吸技巧或給藥，需在病人情緒稍微穩定後進行；強迫討論焦慮源可能會增加焦慮程度。
For a client experiencing a panic attack, the nurse first provides safety and reduces stimuli. Staying with the client decreases feelings of abandonment and fear and establishes a therapeutic relationship. Teaching breathing techniques or administering medication is appropriate once the client is calmer; encouraging exploration of triggers too early can escalate anxiety.
✦ 台美臨床差異
台美護理師皆強調心理支持，但台灣臨床環境常因護理師負擔重，執行陪伴時間常受限。