NurslixJournal
心理社會完整性 · EASY · MCQ

一位 45 歲患有廣泛性焦慮症的個案,主訴心悸與顫抖。對於處理個案目前的生理焦慮表現,下列哪項護理措施最合適?

A 45-year-old client with a history of generalized anxiety disorder presents with reports of palpitations and trembling. Which initial nursing intervention is most appropriate for managing the client's current physiological manifestations of anxiety?

  • AAdminister an as-needed benzodiazepine
    給予處方上需要的苯二氮平類藥物
  • BTeach the client deep breathing techniques✓ 正解
    教導病人深呼吸技巧
  • CEncourage the client to talk about the source of anxiety
    鼓勵病人談論焦慮的來源
  • DRefer the client to a support group
    轉介病人至支持團體
Explanation · 中文詳解

面對急性焦慮症狀,首重穩定生理狀態。深呼吸練習能直接活化副交感神經,對抗交感神經亢進所導致的心悸與顫抖,此為最即時且非侵入性的護理干預。藥物給予需醫師處方,且屬後續治療;深入討論焦慮來源會增加個案心理負擔;轉介支持團體屬長期計畫。

Deep breathing techniques are the most appropriate initial intervention because they directly activate the parasympathetic nervous system to counteract sympathetic arousal, thereby reducing palpitations and trembling. This non-invasive method stabilizes physiological symptoms before addressing psychological triggers or considering pharmacological options.

✦ 台美臨床差異

美台兩國護理師在處理急性焦慮時,皆優先使用非藥物干預,但美國護理師更常主導呼吸治療課程的教導。

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