一位 45 歲患有廣泛性焦慮症的個案，主訴心悸與震顫。護理師應採用何種具治療性的回應？
A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations and trembling. Which initial response by the nurse is therapeutic?
- AAsk the client to describe what they are experiencing right now.✓ 正解請個案描述他們目前正在經歷的感受
- BSuggest that the client take their prescribed PRN anxiety medication immediately.建議個案立即服用處方的 PRN 抗焦慮藥物
- CEncourage the client to take deep breaths and ignore the physical sensations.鼓勵個案深呼吸並忽略身體感覺
- DTell the client that there is no need to worry because the symptoms are harmless.告訴個案無需擔心，因為這些症狀無害
面對焦慮個案，建立治療性溝通應從傾聽與探索現狀開始。鼓勵個案描述目前的感受（描述法），能協助其辨識焦慮源並提供情感支持。A 為貶低感受；C 雖有幫助但忽略了探索感受；D 藥物使用需視嚴重度而定，且應先評估現況。
When working with an anxious client, building therapeutic communication should begin by listening and exploring the present situation. Encouraging the client to describe current feelings (description) helps the client probe inner experience and provides emotional support. Option D invalidates the client's feelings; option C is useful but skips exploration of feelings; option B involves medication use, which depends on severity and should be informed by an initial assessment.
美國護理師常受過特定溝通技巧訓練，特別是鼓勵個案表達；台灣臨床較忙碌，護理師常傾向直接給予衛教或藥物。