一名患有廣泛性焦慮症的 25 歲個案至診所就診，主訴心悸與失眠。護理師應優先採取哪種治療性溝通技巧？
A 25-year-old client with generalized anxiety disorder presents to the clinic reporting frequent palpitations and insomnia. Which therapeutic communication strategy should the nurse use first?
- AEncourage the client to describe their feelings when these symptoms occur✓ 正解鼓勵病人描述症狀發生時的感受
- BProvide a list of relaxation techniques for the client to try at home提供一份放鬆技巧清單供病人在家嘗試
- CRecommend that the client speak with their employer about stress建議病人與雇主談論壓力問題
- DExplain to the client that these symptoms are common with anxiety向病人解釋這些症狀在焦慮症患者中很常見
治療性溝通（Therapeutic Communication）的首要原則是鼓勵病人表達感受，而非直接給予建議或解釋。焦慮症個案常有身體化症狀（如心悸、失眠），護理師應使用開放式問句（Open-ended questions），引導個案探索症狀發作時的心理狀態與觸發因子，這有助於建立信任關係，並讓個案意識到焦慮與情緒的連結，這是心理護理的起點。
The primary principle of therapeutic communication is to encourage the client to express feelings rather than directly providing advice or explanations. Clients with anxiety disorders often present with somatic symptoms (such as palpitations and insomnia), and the nurse should use open-ended questions to guide the client to explore the psychological state and triggers around symptom occurrence. This helps establish trust and helps the client recognize the link between anxiety and emotion, the starting point of psychological nursing care.