— 心理社會完整性 · HARD · MCQ —
一位診斷為反社會型人格障礙的病人，哪項護理措施最重要？
A client is diagnosed with Antisocial Personality Disorder. Which nursing intervention is most important?
- AProvide warm and empathetic listening.提供溫暖且具同理心的傾聽
- BEncourage the client to lead group activities.鼓勵病人帶領團體活動
- CAllow the client to choose their own treatment plan.允許病人自行選擇治療計畫
- DSet clear and consistent limits on behavior.✓ 正解對行為設定明確且一致的界限
— Explanation · 中文詳解 —
反社會型人格障礙病人常有操縱行為且無視規則。護理介入的關鍵在於「設立限制」（Limit setting）並保持團隊的一致性。溫柔同理（A）常被此類病人利用來操縱工作人員；讓其領導（B）或自選計劃（C）會增加其操縱與違反規則的機會。
Clients with antisocial personality disorder commonly exhibit manipulative behaviors and disregard for rules. The key nursing intervention is to set firm, consistent limits while ensuring consistency across the team. Warm empathy (A) is often exploited by such clients to manipulate staff; allowing them to lead activities (B) or to choose their own treatment plan (C) increases opportunities for manipulation and rule-breaking.
✦ 台美臨床差異
美國 NCLEX 強調「Consistency」以防 Manipulation；台灣臨床有時因人力不足，較難達成全天候的一致性限制。