一位 45 歲患有廣泛性焦慮症的個案，出現呼吸急促且感到「大禍臨頭」。護理師應優先採取何種護理措施？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid breathing and reports a feeling of impending doom. Which intervention is most appropriate for the nurse to perform first?
- ARemain with the client and maintain a calm, quiet environment✓ 正解陪伴個案並維持安靜、平和的環境
- BAdminister the prescribed PRN anxiolytic medication給予處方之備用抗焦慮藥物
- CTeach the client diaphragmatic breathing techniques教導個案橫膈膜呼吸技巧
- DInstruct the client to breathe into a paper bag指示個案使用紙袋呼吸
面對急性焦慮發作（如恐慌發作），首要任務是確保個案安全並降低環境刺激。陪伴個案能提供支持感與安全感，減緩焦慮的進一步攀升。紙袋呼吸法已不建議作為常規使用，因為可能導致嚴重缺氧。藥物雖有用，但非首要的護理介入；呼吸技巧訓練需在情緒平穩後進行。
During an acute anxiety or panic attack, the nurse's priority is to ensure client safety and reduce environmental stimuli. Remaining with the client and maintaining a calm, quiet environment provides necessary support and validation. While medication may be prescribed, it is not the first nursing action, and teaching breathing techniques requires the client to be calmer. Paper bag breathing is no longer recommended due to the risk of hypoxia.
台灣醫院對恐慌症病人多依賴藥物介入，美國護理師對非藥物安撫措施的運用較為強調與自主。