一位患有廣泛性焦慮症的 45 歲病人出現心跳過速、出汗及瀕死感。護理師使用哪種治療性溝通技巧最合適？
A 45-year-old client with a history of generalized anxiety disorder presents with rapid heart rate, diaphoresis, and a feeling of impending doom. Which therapeutic communication technique is the most appropriate for the nurse to use?
- AState, 'I see that you are feeling anxious; I will stay here with you.'✓ 正解表示：『我看到你感到焦慮；我會留在這裡陪你。』
- BAsk the client to explain exactly why they feel this way要求病人解釋他們為何會有這種感覺
- CSuggest that the client try to ignore the physical sensations建議病人試著忽略這些身體感覺
- DTell the client that everything is fine and they are safe告訴病人一切都沒問題，他們是安全的
面對急性焦慮發作（Panic Attack），病人的主觀感受是「即將死亡」。此時，護理師應展現「同理（Empathy）」與「存在感（Presence）」。陪伴是緩解焦慮最有效的非藥物介入。護理師應清楚表達會提供安全保障，並承認病人的焦慮感受，這能讓病人感到被接納，從而降低恐慌感。避免使用過度理性的分析或虛假的保證。
During an acute panic attack, the client experiences intense fear and a sense of impending doom. The most appropriate therapeutic intervention is to offer presence and validate the client's feelings, which provides a sense of safety and reduces isolation. Avoid probing for causes, offering false reassurance, or suggesting the client ignore symptoms, as these approaches can increase anxiety or invalidate the client's experience.