— 心理社會完整性 · HARD · MCQ —
一位邊緣性人格障礙病人的出院目標，何者最為適切？
A patient with borderline personality disorder is being discharged. Which goal is most appropriate?
- AThe patient will become completely independent of their primary caregiver病人將完全依賴其主要照顧者
- BThe patient will identify two healthy ways to manage anxiety✓ 正解病人將識別兩種管理焦慮的健康方式
- CThe patient will stop having any negative thoughts病人將不再有任何負面想法
- DThe patient will form no new relationships outside of therapy病人將在治療之外不建立任何新的人際關係
— Explanation · 中文詳解 —
邊緣性人格障礙（Borderline Personality Disorder, BPD）的核心特徵為情緒不穩、人際關係緊張與衝動行為。治療目標應具體、可測量且聚焦於「功能提升」。協助病人學習健康的焦慮應對技巧，能有效降低其衝動行為（如自傷），這比要求其完全停止負面思考（這是不切實際的）更具臨床可行性。
Borderline personality disorder (BPD) is characterized by emotional instability, turbulent interpersonal relationships, and impulsive behaviors. Treatment goals must be specific, measurable, and focused on improvement in functioning. Helping the patient learn healthy strategies for managing anxiety effectively reduces impulsive behaviors (such as self-harm) and is far more clinically feasible than asking the patient to completely stop having negative thoughts, which is unrealistic.