— 心理社會完整性 · EASY · MCQ —
一名 28 歲患有廣泛性焦慮症的客戶來到診所，主訴心悸、呼吸困難及瀕死感。護理師應優先採取的措施為何？
A 28-year-old client with a history of generalized anxiety disorder presents to the clinic with reports of heart palpitations, shortness of breath, and a fear of dying. Which intervention is the priority for the nurse?
- AInstruct the client to practice deep breathing exercises指導個案練習深呼吸運動
- BAdminister an ordered PRN anxiolytic medication給予處方之按需使用之抗焦慮藥物
- CTeach the client about the symptoms of anxiety教導個案關於焦慮症狀的知識
- DStay with the client and maintain a calm environment✓ 正解陪伴個案並維持安靜的環境
— Explanation · 中文詳解 —
面對恐慌發作的病人，護理師的首要任務是確保病人的安全與建立信任關係。留下來陪伴能降低病人的恐慌感，並透過冷靜的態度減少對環境的焦慮，這是建立心理支持的第一步。後續的呼吸練習或藥物介入則是在穩定情緒後的輔助措施。
The priority intervention is to stay with the client and maintain a calm environment to ensure safety and reduce feelings of isolation during an acute panic attack. Providing a reassuring presence helps lower anxiety levels before introducing coping techniques like deep breathing or administering medication.
✦ 台美臨床差異
美台護理臨床對於急性焦慮處置一致，皆強調陪伴與非藥物處置優先。