一位 45 歲患有廣泛性焦慮症的個案，表現出持續擔憂與肌肉緊繃。護理師在建立治療性關係時，哪項介入措施最優先？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic with reports of constant worry and muscle tension. Which intervention is most effective for the nurse to prioritize when initiating a therapeutic relationship?
- AEncourage the client to express feelings in a safe environment✓ 正解鼓勵病人在安全的環境中表達感受
- BPerform a comprehensive physical assessment進行全面的身體評估
- CAdminister the prescribed anxiolytic medication給予處方的抗焦慮藥物
- DTeach the client deep breathing exercises教導病人深呼吸練習
治療性溝通的核心是建立信任感。對於焦慮個案，傾聽與鼓勵表達感受能有效減輕內在緊張，讓護理師了解個案的需求後，才能進行後續的生理評估或衛教。呼吸練習與藥物雖重要，但需建立在信任關係基礎上，強制進行會增加抵抗。
The core of therapeutic communication is to establish trust. For a client with anxiety, listening and encouraging the expression of feelings can effectively reduce internal tension; once the nurse understands the client's needs, subsequent physical assessment and education can follow. While breathing exercises and medication are also important, they must be built on a foundation of trust; pushing them prematurely will only increase resistance.
美護理師較強調治療性溝通與自我揭露之界線，台灣護理師受限於業務量，常直接跳過溝通進入處置流程。