— 心理社會完整性 · EASY · MCQ —
一位 28 歲廣泛性焦慮症個案至診所就診，主訴對生活事件感到持續焦慮。護理師應優先採用哪項措施來幫助個案管理焦慮？
A 28-year-old client with generalized anxiety disorder presents to the clinic with reports of constant worry about multiple life events. Which intervention should the nurse prioritize to help the client manage anxiety?
- AProviding a list of local support groups提供當地支持團體名單
- BReviewing the pathophysiology of anxiety回顧焦慮的病理生理學
- CEncouraging deep breathing exercises✓ 正解鼓勵進行深呼吸練習
- DAdministering PRN sedative medication給予按需 (PRN) 鎮靜藥物
— Explanation · 中文詳解 —
面對廣泛性焦慮症，護理的首要任務是協助個案緩解當下的生理焦慮反應。深呼吸等放鬆技巧能直接刺激副交感神經，幫助個案恢復平靜。藥物治療是輔助手段且需醫師處方，衛教與轉介則為後續步驟，穩定個案情緒是首要護理重點。
For clients with generalized anxiety disorder, the priority is to alleviate immediate physiological arousal. Encouraging deep breathing exercises is the most effective initial intervention because it stimulates the parasympathetic nervous system, promoting relaxation and helping the client regain control.
✦ 台美臨床差異
美台護理師均強調焦慮之非藥物護理；台灣精神科護理師常執行團體治療，美國則多強調跨專業團隊之個別化衛教。