一位 35 歲患有廣泛性焦慮症的病患出現心跳加快、冒汗及瀕死感。護理師應優先採取哪種治療性溝通技巧？
A 35-year-old client with a history of generalized anxiety disorder presents with rapid heart rate, diaphoresis, and a feeling of impending doom. Which therapeutic communication technique should the nurse prioritize?
- AUse short, calm, and simple sentences✓ 正解使用簡短、平靜且簡單的句子
- BProvide a detailed explanation of the physiological process of panic提供恐慌生理過程的詳細說明
- CAsk the client to list all their current stressors要求病人列出目前所有的壓力源
- DEncourage the client to discuss the root cause of the anxiety鼓勵病人討論焦慮的根本原因
面對焦慮發作（panic attack）的病人，首要任務是降低其焦慮程度。簡單、清晰且平靜的指令能幫助病人集中注意力並減少認知負荷。過多的資訊或深究壓力源（選項 D, C）會讓過度覺醒的病人感到更無所適從，生理機制解說（選項 B）則超出了急性期的認知處理能力。
When caring for a patient experiencing a panic attack, the primary task is to reduce the patient's level of anxiety. Simple, clear, and calm instructions help the patient focus attention and reduce cognitive load. Excessive information or in-depth exploration of stressors (options D and C) will only make a hyperaroused patient feel more overwhelmed, and explanations of the underlying physiologic mechanism (option B) exceed the cognitive processing capacity during the acute phase.
美台護理臨床皆強調急性焦慮首重環境與情緒支持，但在台灣臨床常需先排除甲狀腺風暴等有機性病因。