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心理社會完整性 · EASY · MCQ

護理師評估一位邊緣型人格障礙的病患,下列哪種行為最符合該診斷特徵?

A nurse is interviewing a client who has been diagnosed with borderline personality disorder. Which behavior is most characteristic of this condition?

  • AGrandiosity and lack of empathy
    自大且缺乏同理心
  • BSocial withdrawal and isolation
    社交退縮與孤立
  • CSplitting of staff members✓ 正解
    對護理人員進行分裂
  • DPreoccupation with orderliness
    過度關注整齊有序
Explanation · 中文詳解

邊緣型人格障礙(Borderline Personality Disorder)的核心特徵包括人際關係不穩定、對遭遺棄的強烈恐懼以及「分裂」(Splitting)的心理防衛機轉。分裂是指病人將他人視為「全好」或「全壞」,這種行為常導致護理團隊被分化,病人可能對某一護理師極度讚賞,同時對另一位極度貶低,護理師需警覺此行為並維持團隊的一致性。

Core features of borderline personality disorder include unstable interpersonal relationships, an intense fear of abandonment, and the defense mechanism of splitting. Splitting refers to the patient viewing others as 'all good' or 'all bad,' a behavior that often divides the nursing team: the patient may praise one nurse highly while devaluing another. The nurse must be alert to this behavior and maintain consistency across the team.

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