— 心理社會完整性 · MEDIUM · MCQ —
一位護理師正照顧恐慌發作的病人。下列哪項措施為優先處理事項？
A nurse is caring for a client experiencing a panic attack. Which intervention is the priority for the nurse to implement?
- AStay with the client and maintain a calm, firm demeanor.✓ 正解陪伴病人並保持冷靜、堅定的態度。
- BTeach the client deep breathing techniques.教導病人深呼吸技巧。
- CIdentify the potential triggers of the panic attack.找出恐慌發作的潛在誘因。
- DAdminister an ordered PRN sedative.給予醫囑指示的按需鎮靜劑。
— Explanation · 中文詳解 —
恐慌發作時，病人的自我控制能力喪失且極度焦慮。護理師最重要的任務是提供安全感與陪伴，保持冷靜且堅定的態度能穩定現場。A 為藥物治療，非首選；B 需要在病人焦慮水平下降後才能執行；D 應在急性期過後再進行。
The priority intervention is to stay with the client and maintain a calm, firm demeanor to provide a sense of safety and help reduce the intensity of the panic attack. During an acute episode, the client is unable to concentrate on teaching or trigger analysis, and pharmacological interventions are secondary to establishing a therapeutic presence.
✦ 台美臨床差異
兩地在急性精神處置上一致，皆以 Safety First 為核心指導原則。