— 心理社會完整性 · MEDIUM · MCQ —
一位 28 歲有廣泛性焦慮症病史的個案，出現呼吸急促、心悸與瀕死感。護理師首要介入措施為何？
A 28-year-old client with a history of generalized anxiety disorder presents with rapid breathing, heart palpitations, and a sense of impending doom. Which intervention is the highest priority?
- AAdminister an as-needed dose of benzodiazepine給予處方之苯二氮平類藥物（按需劑量）
- BStay 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
- CTeach the client deep breathing techniques教導個案深呼吸技巧
- DEncourage the client to discuss the source of the anxiety鼓勵個案討論焦慮的來源
— Explanation · 中文詳解 —
面對急性焦慮發作（恐慌發作），首要任務是提供情緒支持並確保環境安全，藉由護理師的陪伴與鎮定態度來降低個案的焦慮強度。藥物與腹式呼吸為後續步驟，而在個案處於激動狀態時，深入分析焦慮來源（Insight）反而可能加重其壓力。
During a panic attack, the priority is to ensure safety and reduce sensory overload by staying with the client and maintaining a calm, quiet environment. This supportive presence helps lower anxiety levels before implementing pharmacological interventions or teaching coping skills.
✦ 台美臨床差異
美台護理臨床對於急性焦慮處理原則一致，皆首重情緒支持與環境安全。