— 心理社會完整性 · EASY · MCQ —
一位患有廣泛性焦慮症的 35 歲病人，出現心跳加速、顫抖及強烈的瀕死感。護理師應優先採取哪種治療性溝通技巧？
A 35-year-old client with a history of generalized anxiety disorder presents with rapid heart rate, tremors, and a fear of impending doom. Which therapeutic communication technique should the nurse employ first?
- AUse silence to allow the client to process feelings使用沉默讓病人處理感受
- BAsk the client what triggered this episode詢問病人是什麼觸發了這次發作
- CEncourage the client to discuss deep-seated trauma鼓勵病人討論深層的創傷
- DSpeak in a calm, low-pitched, and steady tone✓ 正解以平靜、低沉且穩定的語氣說話
— Explanation · 中文詳解 —
對於急性焦慮發作（Acute anxiety attack）的病人，護理師應提供「低刺激」的環境。使用低沉、平穩的語氣說話能傳達鎮定感，協助個案降低生理激發（Physiological arousal）。在個案處於高度焦慮或恐慌狀態時，病人的認知能力會下降，過多的提問或沉默可能會讓個案感到不安或被忽視，因此平穩的陪伴與溝通是首要的治療性介入。
During an acute anxiety attack, the nurse should use a calm, low-pitched, and steady tone to help reduce the client's autonomic arousal. Complex questioning or silence may increase distress, so providing a low-stimulation environment is the primary therapeutic intervention.