一位 25 歲患有廣泛性焦慮症的個案，主訴心悸、震顫及瀕死感。護理師應優先採取哪項治療性溝通策略？
A 25-year-old client with a history of generalized anxiety disorder presents with reports of palpitations, tremors, and a fear of impending doom. Which therapeutic communication strategy should the nurse utilize first?
- AOffer a sedative medication immediately立即提供鎮靜劑
- BEncourage the client to describe the physical sensations in detail鼓勵病人詳細描述生理感覺
- CAsk the client to explain why they are feeling anxious要求病人解釋焦慮的原因
- DSpeak in a calm, low-pitched, and steady voice✓ 正解以平靜、低沉且穩定的語氣說話
面對急性焦慮發作，護理師應先營造低刺激、安穩的環境。使用冷靜、低沉且平穩的語氣能提供安全感，協助降低個案的激動程度。詢問「為什麼」會增加個案壓力，要求詳細描述身體感覺可能使個案更專注於焦慮症狀，而藥物通常需評估後由醫師開立。
When managing a client experiencing acute anxiety, the nurse should first speak in a calm, low-pitched, and steady voice to model stability and help de-escalate the client's agitation. This approach provides immediate emotional support and creates a safe environment, whereas asking 'why' or focusing intensely on physical symptoms may increase the client's stress and defensive reactions.
台美均強調治療性溝通，台灣基層護理師在面對焦慮個案時，常受限於工作量，較難進行深度心理支持。