護理師正在照顧一位患有廣泛性焦慮症（GAD）的病人，該病人正在不停走動且呼吸急促。此時護理師最具治療性的陳述為何？
A nurse is caring for a client with Generalized Anxiety Disorder (GAD) who is pacing and breathing rapidly. Which statement by the nurse would be most therapeutic at this time?
- AWhy are you so anxious right now?你現在為什麼這麼焦慮？
- BEverything is going to be fine; don't worry.一切都會沒事的；別擔心。
- CIt seems like you are feeling very anxious. I will stay here with you.✓ 正解你似乎感到非常焦慮。我會留在這裡陪你。
- DYou should try to sit down and relax.你應該試著坐下並放鬆。
核心概念在於焦慮症急性發作時的護理介入。當病人處於中度至重度焦慮時，他們無法處理複雜的指令或深入的探討。選項 C 採用了「認可感受」與「提供陪伴」的策略。認可感受（It seems like...）能讓病人感到被理解，而提供陪伴（I will stay here with you）則能提供心理上的安全感，這在急性焦慮期至關重要。為什麼正確答案對？因為它不具威脅性且能立即降低病人的孤獨感。臨床思路上，護理師應先穩定病人的情緒，而不是急著問原因或要求病人執行困難的動作。安全優先原則要求我們在病人焦慮時不可離開病人，以防發生意外。
Acknowledging the client's feelings and offering presence is the most therapeutic intervention because it validates their experience and provides psychological safety during acute anxiety. This approach helps reduce isolation without demanding complex cognitive processing, which is impaired when a client is pacing and breathing rapidly.
在美國，護理教育極度強調治療性溝通的標準話術，特別是避免使用 'Why'。台灣臨床上，護理師有時會因工作繁忙而傾向於使用指令式語言（如「先坐好」），但在 NCLEX 考試中，必須嚴格遵守非指令性與同理心原則。