一位患有廣泛性焦慮症的 45 歲個案來到診所，表示因擔心恐慌發作而不敢出門。哪項治療性護理回應最合適？
A 45-year-old client with a history of generalized anxiety disorder presents to the clinic expressing fear of leaving their home due to potential panic attacks. Which therapeutic nursing response is most appropriate?
- ATell the client that many people feel this way and they should try to stay busy告訴個案許多人都有這種感覺，他們應該試著保持忙碌
- BAcknowledge the client's feelings and ask them to describe the sensations experienced during a panic attack✓ 正解確認個案的感受，並請他們描述恐慌發作期間經歷的感覺
- CEncourage the client to force themselves to go out to overcome the fear鼓勵個案強迫自己出門以克服恐懼
- DSuggest that the client ignore these feelings since there is no real danger建議個案忽略這些感覺，因為並沒有真正的危險
面對焦慮症個案，建立治療性溝通的第一步是同理其感受並探索其內在體驗，而非給予過早的建議或否定。恐慌發作（Panic Attack）帶來的軀體化症狀（如心悸、窒息感、暈眩）對個案而言是非常真實且恐怖的。透過詢問個案描述發作時的感受，護理師能收集具體的臨床症狀，評估其嚴重度，並在過程中展現接納的態度，讓個案感到被理解，進而建立信賴關係（建立治療性聯盟）。相較之下，選項 C 屬於洪水法（Flooding）的強迫性應用，容易導致個案恐慌惡化；選項 D 和 A 屬於無效的安慰或否認個案的痛苦，會中斷溝通且讓個案感到挫折。
Validating the client's feelings and exploring the specific sensations of a panic attack establishes therapeutic rapport and demonstrates empathy. This approach allows the nurse to gather clinical data while making the client feel understood, whereas dismissing the fear or forcing exposure can invalidate their experience or worsen anxiety.
美國護理教育極度強調同理心（Empathy）與主動聆聽在心理衛生中的地位，常運用『治療性溝通技巧』評量；台灣臨床作業受限於繁忙的門診壓力，護理師常傾向於快速衛教藥物用法，較少有餘裕進行深度探索的溝通。