— 心理社會完整性 · MEDIUM · MCQ —
一位 45 歲廣泛性焦慮症病患出現顫抖、盜汗及強烈瀕死感。護理師首要介入措施為何？
A 45-year-old client with a history of generalized anxiety disorder presents with tremors, diaphoresis, and a feeling of impending doom. Which intervention is the priority?
- AAdminister the prescribed PRN anxiolytic給予處方之備用抗焦慮藥
- BPerform a head-to-toe physical assessment執行全身身體評估
- CEncourage the client to discuss the source of their anxiety鼓勵個案討論焦慮來源
- DStay with the client and provide a calm, quiet environment✓ 正解陪伴個案並提供安靜平和的環境
— Explanation · 中文詳解 —
面對急性焦慮症狀，建立安全的治療性環境是首要之務。陪伴能降低病人的孤獨感與無助感，減輕其不安，讓環境保持寧靜有助於情緒的緩解。先穩定病人的心理狀態後，再考慮藥物介入或深入探討心理成因，身體檢查雖然必要，但相較於建立安全感，心理支持更為急迫。
During an acute anxiety or panic episode, the priority is to stay with the client and provide a calm, quiet environment to ensure safety and reduce distress. Engaging the client in discussion or exploring stressors can increase anxiety, while physical assessment and medication administration are secondary to establishing emotional stability.
✦ 台美臨床差異
美方護理師在心理衛生照護中常具備更高自主權，而台灣臨床環境常因護理業務繁雜，心理陪伴時間多由精神科專科護理師或諮商心理師承擔。