— 心理社會完整性 · EASY · MCQ —
一位 45 歲患有廣泛性焦慮症的個案出現呼吸急促、心跳過速及瀕死感。護理師首要採取的措施為何？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid breathing, tachycardia, and a sense of impending doom. What is the most appropriate initial nursing action?
- ATeach the client deep breathing techniques immediately立即教導個案深呼吸技巧
- BEncourage the client to discuss the source of their anxiety鼓勵個案討論其焦慮的來源
- CStay with the client and use a calm, firm, and concise manner✓ 正解陪伴個案並以冷靜、堅定且簡潔的方式溝通
- DAdminister an as-needed PRN anxiolytic medication給予處方之按需（PRN）抗焦慮藥物
— Explanation · 中文詳解 —
面對急性焦慮發作（Panic attack），病人的心理安全感最為脆弱。護理師首要行動是陪伴（Stay with the client），透過冷靜、堅定且簡潔的溝通方式，提供穩定感。這能讓病人感覺到有人支持，從而降低其瀕死感（Sense of impending doom），待情緒平復後，再進行其他治療措施。
During an acute panic attack, the client’s ability to process information is impaired, making teaching or analysis ineffective. The nurse should stay with the client and use a calm, firm, and concise manner to provide stability and reduce the sense of impending doom. Medication may be administered later if needed.