一名 25 歲患有廣泛性焦慮症的個案，主訴心跳加速、盜汗及瀕死感。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 tachycardia, diaphoresis, and a feeling of impending doom. Which intervention is the priority for the nurse?
- AAdminister an as-needed benzodiazepine給予處方上標示必要時使用的苯二氮平類藥物
- BInstruct the client to breathe deeply and slowly✓ 正解指示病人深層且緩慢地呼吸
- CEncourage the client to discuss the source of anxiety鼓勵病人討論焦慮的來源
- DProvide a distraction by showing the client a video透過播放影片讓病人轉移注意力
面對急性焦慮發作，首要目標是降低生理喚起水平。深呼吸能有效激活副交感神經，對抗交感神經過度興奮引起的症狀。藥物給予需醫師處方，且屬藥物治療範疇；分析焦慮原因適合在焦慮緩解後進行，急性期過度追問反而加重壓力。
The priority intervention for a client experiencing an acute panic attack is to instruct them to breathe deeply and slowly to activate the parasympathetic nervous system and reduce physiological arousal. Discussing the source of anxiety is contraindicated during the acute phase as it may increase stress, and medication administration requires a provider's order. Distraction techniques are generally less effective than physical regulation methods in this context.
美台護理臨床對於急性焦慮處置原則一致，皆首重非藥物性生理放鬆技巧。