一名 25 歲患有廣泛性焦慮症的個案至門診，主訴心悸、出汗及瀕死感。護理師應優先採取的介入措施為何？
A 25-year-old client with a history of generalized anxiety disorder presents to the clinic with reports of palpitations, sweating, and feelings of impending doom. Which intervention is the priority for the nurse?
- AAdminister an PRN anxiolytic medication給予處方用抗焦慮藥物
- BEncourage the client to discuss the source of their anxiety鼓勵病人討論焦慮的來源
- CStay with the client and maintain a calm, quiet environment✓ 正解陪伴病人並維持安靜平和的環境
- DTeach the client deep breathing exercises教導病人深呼吸運動
對於急性焦慮發作的個案，護理師的首要任務是『建立安全感』與『降低刺激』。病人此時處於交感神經過度興奮狀態，甚至出現瀕死感（Feeling of impending doom），此時護理師的陪伴能提供心理支持，冷靜的環境能減少外界資訊輸入，幫助個案平復呼吸與情緒。在未確認生理穩定前，不宜給予過多教育指令。
Severe pain in acute pancreatitis triggers a sympathetic stress response that increases metabolic demand and stimulates further pancreatic enzyme secretion, worsening autodigestion. Therefore, administering pain medication is the priority intervention to break this cycle, reduce physiological stress, and improve patient comfort. Dietary modifications and activity restrictions are also important but follow effective pain management.