一位邊緣型人格障礙的個案即將出院。下列哪項護理介入最能提升其長期的心理社會完整性？
A client diagnosed with borderline personality disorder is being discharged. Which nursing intervention is most effective in promoting long-term psychosocial integrity?
- ADiscussing the client's past childhood trauma in depth深入討論個案過去的童年創傷
- BEncouraging the client to avoid all interpersonal relationships鼓勵個案避免所有人際關係
- CAssigning different nurses each day to prevent dependency每日指派不同護理師以避免依賴
- DTeaching the client healthy coping skills and dialectical behavior strategies✓ 正解教導個案健康之因應技巧與辯證行為策略
辯證行為治療（DBT）是邊緣型人格障礙最有效的證據基礎治療，強調情緒調節、人際效能與痛苦忍受技巧。護理師的角色在於教導這些技巧以替代自我傷害行為。選項 A 對於急性期後並非首務；選項 B 剝奪了社會連結；選項 C 雖然是為了防範過度依賴，但針對該人格障礙應提供穩定一致的護理護理師，以緩解其被遺棄的恐懼感。
Dialectical behavior therapy (DBT) is the most effective evidence-based treatment for borderline personality disorder, emphasizing emotion regulation, interpersonal effectiveness, and distress tolerance skills. The nurse's role is to teach these skills as substitutes for self-injurious behavior. Option A is not a priority outside the acute phase; option B deprives the client of social connection; and although option C is intended to prevent over-dependence, clients with this disorder actually need consistent nursing staff to ease their fear of abandonment.
美國在門診推動 Intensive Outpatient Program (IOP) 運用 DBT；台灣則多依賴住院期間的結構化護理與門診追蹤。