病人正經歷恐慌發作。護理師應首先執行哪項介入？
A client is experiencing a panic attack. Which intervention should the nurse implement first?
- AMove the client to a larger, more open space將病人移至較大、更開放的空間
- BProvide clear, concise, and calm instructions✓ 正解提供清晰、簡潔且鎮定的指示
- CAsk the client to describe what triggered the panic詢問病人描述引發恐慌的原因
- DAdminister an anxiolytic medication施用抗焦慮藥物
恐慌發作（Panic attack）時，病人的認知功能會因為極度焦慮而顯著下降，出現「隧道視野」（tunnel vision），導致無法理解複雜指令。護理師的核心任務是建立安全感（Safety）並降低刺激。提供簡單、冷靜、明確的指令能有效協助病人重新聚焦，避免因資訊過載加劇焦慮。優先執行溝通介入是處理恐慌發作的標準程序，透過引導式呼吸（Guided breathing）幫助病人恢復生理平穩，隨後再進行藥物或其他評估。
During a panic attack, the client's cognitive function is significantly impaired by extreme anxiety, producing "tunnel vision" and an inability to comprehend complex instructions. The nurse's core task is to establish safety and reduce stimulation. Providing simple, calm, and clear instructions effectively helps the client refocus and prevents anxiety from being worsened by information overload. Prioritizing communication-based intervention is the standard procedure for managing panic attacks; guided breathing is then used to help restore physiologic stability, followed later by medication or further assessment.