— 心理社會完整性 · MEDIUM · MCQ —
一位個案在急診室發生恐慌發作，護理師應優先採取何種措施？
A client is experiencing a panic attack in the emergency room. Which action should the nurse prioritize?
- ALeave the client alone to let them calm down.讓個案獨處以使其冷靜下來
- BStay with the client and offer calm, short sentences.✓ 正解留在個案身邊並提供平靜、簡短的語句
- CAdminister an PRN antipsychotic.給予處方 PRN 抗精神病藥物
- DEncourage the client to discuss the cause of the panic.鼓勵個案討論恐慌的原因
— Explanation · 中文詳解 —
當個案經歷恐慌發作（panic attack）時，首要護理目標是確保個案安全並降低其焦慮程度。個案正處於極度恐懼與認知解離狀態，護理師的「陪伴」（presence）本身就是一種治療性介入。語句必須簡短、冷靜，以減輕個案處理資訊的負擔。臨床思路應遵循「安全第一」，避免在此時進行深層心理挖掘，因為個案無法理性分析。
The priority intervention during a panic attack is to ensure client safety and reduce anxiety through therapeutic presence. The nurse should stay with the client and use calm, short sentences to minimize cognitive overload, as the client is currently unable to process complex information. Leaving the client alone or attempting deep psychological discussion can increase feelings of danger and distress.