一位 45 歲焦慮症病人出現呼吸急促、心跳過速及瀕死感。護理師應採取何種優先處置？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid breathing, tachycardia, and a sense of impending doom. Which intervention is the highest priority?
- AAdminister PRN diazepam as ordered依醫囑給予處方用（PRN）之去甲安定
- BInstruct the client to breathe into a paper bag指示病人對著紙袋呼吸
- CRemain with the client and use a calm, firm voice✓ 正解留在病人身邊並使用平靜、堅定的語氣
- DPerform a comprehensive head-to-toe physical assessment進行全面性的頭到腳理學評估
面對急性焦慮發作，首要任務是提供安全且穩定的心理環境。持續陪伴能減輕病人的孤獨感與失控感，透過冷靜的溝通引導其呼吸，是建立治療性關係的關鍵。紙袋法已不再推薦，藥物為次要手段，物理檢查應待病人情緒穩定後再進行。
During an acute anxiety attack, the first priority is to provide a safe and stable psychological environment. Remaining with the client reduces feelings of isolation and loss of control, and using calm communication to guide breathing is key to establishing a therapeutic relationship. The paper bag technique is no longer recommended; medication is a secondary intervention; and a physical examination should be deferred until the client's emotions have stabilized.
美國護理師常依據病房護理常規給予減壓引導，台灣臨床則常優先評估是否需要精神科會診協助用藥。