一位45歲廣泛性焦慮症病史的個案，主訴心悸、出汗及瀕死感。護理師的首要行動為何？
A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations, sweating, and feelings of impending doom. What is the nurse's priority action?
- ARemain with the client in a quiet, low-stimulation environment✓ 正解陪伴病人待在安靜、低刺激環境中
- BInstruct the client to breathe into a paper bag指導病人對紙袋呼吸
- CAdminister an as-needed dose of benzodiazepine依醫囑給予苯二氮平類藥物
- DTeach the client about the pathophysiology of anxiety教導病人關於焦慮的病理生理學
廣泛性焦慮症（Generalized Anxiety Disorder, GAD）病人可能在壓力下經歷急性焦慮發作或恐慌發作（Panic Attack），其症狀常包括心悸、出汗、呼吸困難、胸悶、顫抖以及強烈的瀕死感或失控感。在這種急性發作時，病人會感到極度恐懼和無助，護理師的首要任務是確保病人的安全，並提供一個支持性的環境。 面對急性焦慮或恐慌的病人，建立信任關係和提供安全感至關重要。護理師的在場可以穩定病人情緒，而降低環境刺激（如噪音、光線）有助於減少外界干擾，讓病人更容易集中注意力於護理師的引導。此時，過多的解釋或複雜的指令反而會增加病人的焦慮感。因此，護理師應優先採取穩定情緒、降低刺激的措施，隨後再考慮其他介入方式。
During an acute anxiety or panic attack, the nurse's priority is to ensure safety and provide a supportive environment by remaining with the client. Keeping the client in a quiet, low-stimulation setting helps de-escalate symptoms, whereas excessive explanation or complex instructions may increase anxiety.