一位 45 歲患有廣泛性焦慮症的個案向護理師表示：「我覺得快要發生什麼可怕的事，心臟一直跳，無法呼吸。」下列哪項初步護理措施最具治療性？
A 45-year-old client with a history of generalized anxiety disorder tells the nurse, 'I feel like something terrible is going to happen, my heart is pounding, and I cannot breathe.' Which initial intervention is most therapeutic?
- ALeave the client alone to provide privacy and reduce stimuli讓個案獨處以提供隱私並減少刺激
- BAdminister the prescribed PRN anxiolytic medication給予處方 PRN 抗焦慮藥物
- CEncourage the client to talk about the source of the anxiety鼓勵個案談論焦慮的來源
- DMaintain a calm demeanor and use short, clear sentences✓ 正解保持鎮定態度並使用簡短清晰的句子
個案處於急性恐慌或嚴重焦慮時，認知功能會顯著下降，無法處理複雜資訊。護理師應展現專業的冷靜態度（calm demeanor），並使用簡短、清晰的語句（short, clear sentences），這能提供個案安全感，並降低環境刺激帶來的心理負荷。這是建立治療性溝通的第一步，旨在先協助個案穩定情緒，而非急於探索問題源頭。
When a client is experiencing acute panic or severe anxiety, cognitive function is significantly impaired and the client is unable to process complex information. The nurse should display a professional calm demeanor and use short, clear sentences, which provides the client with a sense of safety and reduces the psychological burden imposed by environmental stimuli. This is the first step in establishing therapeutic communication, with the goal of helping the client stabilize emotionally before exploring the source of the problem.