一位 35 歲患有廣泛性焦慮症的病人出現呼吸急促、心搏過速及瀕死感。護理師應採取的最高優先措施為何？
A 35-year-old client with a history of generalized anxiety disorder presents with rapid breathing, tachycardia, and a sense of impending doom. Which intervention is the highest priority for the nurse?
- AStay with the client and use a calm, firm voice✓ 正解留在病人身旁並使用冷靜、堅定的語氣
- BAsk the client to describe the trigger for their anxiety詢問病人描述其焦慮的誘發因素
- CAdminister the prescribed PRN anxiolytic immediately立即給予處方的 PRN 抗焦慮藥物
- DInstruct the client to breathe into a paper bag指示病人用紙袋呼吸
面對廣泛性焦慮症（Generalized Anxiety Disorder）急性發作或恐慌發作時，病人的安全感是護理首要任務。病人常因生理症狀（如心悸、呼吸困難）產生瀕死感，此時護理師應保持冷靜，留置身旁提供存在感，協助病人建立心理依靠，並引導其進行緩慢呼吸，以降低交感神經亢奮。臨床思路遵循安全優先，穩定病人情緒後再進行評估與治療。
During an acute panic attack, the client's primary need is safety and emotional stabilization through the nurse's calm presence. Staying with the client and using a firm, soothing voice helps reduce feelings of impending doom and restores a sense of security. Interventions like analyzing triggers or administering medication are secondary to establishing this immediate therapeutic connection and ensuring the client remains safe.