— 心理社會完整性 · MEDIUM · MCQ —
一位廣泛性焦慮症（GAD）病人表現出持續擔憂與焦躁不安，護理師應優先採取的措施為何？
A client with generalized anxiety disorder (GAD) exhibits constant worrying and restlessness. Which nursing intervention is the highest priority?
- ATeach the client deep breathing exercises.教導客戶深呼吸運動。
- BAdminister the prescribed PRN anxiolytic medication.給予處方之需時（PRN）抗焦慮藥物。
- CProvide a quiet, low-stimulation environment.✓ 正解提供安靜、低刺激的環境。
- DEncourage the client to discuss the source of their worry.鼓勵客戶討論擔心的來源。
— Explanation · 中文詳解 —
焦慮症病人的環境控制極為關鍵。減少過度刺激能降低神經系統的過度喚醒，為進一步進行認知行為療法或諮商奠定基礎。B雖能緩解症狀，但需在非藥物治療無效時考慮；C在病人極度焦慮時難以執行；D需要病人能專注配合，但在急性躁動期效果有限，應先提供穩定環境。
Providing a quiet, low-stimulation environment is the highest priority to reduce sensory input and lower physiological arousal in a client with generalized anxiety. Deep breathing techniques and cognitive discussions require a level of calm that may not be present during acute anxiety. Pharmacological interventions are typically secondary to environmental modifications and non-pharmacologic coping strategies.
✦ 台美臨床差異
美國心理健康護理重視環境療法，台灣醫院常因空間限制，環境營造上較難達到理想標準。