一位 25 歲患有廣泛性焦慮症的個案至診所就診，主訴對工作表現感到持續焦慮。護理師應將下列哪項措施納入照護計畫中？
A 25-year-old client with generalized anxiety disorder presents to the clinic with reports of constant worry about job performance. Which nursing intervention is most appropriate to include in the plan of care?
- ATeach the client how to recognize and reframe cognitive distortions✓ 正解教導病患如何識別並重新建構認知扭曲
- BSuggest that the client seek a different career path建議病患尋求不同的職業道路
- CEncourage the client to avoid stressors entirely鼓勵病患完全避免壓力源
- DAdminister anxiolytics without exploring underlying causes在不探討潛在原因的情況下給予抗焦慮藥物
針對焦慮症個案，認知行為療法中的認知重構是核心治療策略。協助個案識別不合理的焦慮念頭並轉化為客觀想法，能有效減輕焦慮感。完全避開壓力源（C）是不切實際的，改變職涯（B）無法解決焦慮本質，純粹藥物治療（D）忽略了心理諮商的重要性，應結合心理治療與藥物。
The most appropriate intervention for a client with generalized anxiety disorder is to teach cognitive reframing techniques to identify and challenge irrational thoughts. This cognitive-behavioral strategy addresses the root of the anxiety, whereas avoiding stressors or changing careers is impractical, and medication alone does not resolve underlying thought patterns.
美國心理諮商由專業護理師或心理師主導；台灣多由精神科醫師主導，護理師角色較偏向症狀監測與衛教。