護理師正在為一位有自殘行為的邊緣型人格障礙病人制定照護計畫，應優先考量哪項介入措施？
A nurse is developing a plan of care for a client with borderline personality disorder who exhibits self-harm behaviors. Which intervention should be prioritized?
- AFacilitate participation in group therapy促進參與團體治療
- BTeach distraction techniques for urges✓ 正解教導衝動時的轉移注意力技巧
- CSet firm limits on manipulative behaviors對操縱行為設定嚴格界限
- DEncourage journaling about emotions鼓勵記錄情緒日記
邊緣型人格障礙的核心挑戰之一是衝動控制和自我傷害。當病人出現自殘衝動時，首要任務是提供立即有效的應對策略，如轉移注意力技巧，以防止實際傷害發生。雖然其他選項（鼓勵書寫、設定界線、團體治療）對長期治療很重要，但在應對急性衝動方面，轉移技巧是首要的。
One core challenge of borderline personality disorder is impulse control and self-harm. When the client experiences an urge to self-harm, the primary task is to provide an immediately effective coping strategy—such as distraction techniques—to prevent actual injury. While the other options (encouraging journaling, setting limits, group therapy) are important for long-term treatment, distraction techniques are the priority for managing acute impulses.
在美國，針對邊緣型人格障礙的辯證行為療法 (DBT) 強調學習與實踐應對技巧，包括轉移注意力；台灣的照護可能更側重於穩定病房環境及藥物管理。