— 心理社會完整性 · HARD · SATA —
護理師正在評估一位診斷為邊緣性人格障礙的個案，應預期會觀察到哪些行為？（選所有適合的）
A nurse is interviewing a client who has been diagnosed with borderline personality disorder. Which behaviors should the nurse expect to encounter? (Select all that apply.)
- ASplitting of staff members✓ 正解將護理人員分裂為兩派
- BFear of abandonment✓ 正解對被拋棄的恐懼
- CImpulsive self-destructive behaviors✓ 正解衝動的自毀行為
- DConsistent, stable self-image一致且穩定的自我形象
- EUnstable and intense interpersonal relationships✓ 正解不穩定且強烈的人際關係
— Explanation · 中文詳解 —
邊緣性人格障礙的臨床特徵包括人際關係不穩定（極端愛恨）、對被遺棄的強烈恐懼、分裂機制（Splitting，將他人視為完全好或完全壞）、衝動性行為（如自傷）及認同感障礙。D 選項錯誤，因為個案通常缺乏一致性的自我形象。
The clinical features of borderline personality disorder include unstable interpersonal relationships (extremes of love and hate), intense fear of abandonment, splitting (viewing others as all good or all bad), impulsive behaviors (such as self-harm), and identity disturbance. Option D is incorrect because clients typically lack a consistent self-image.
✦ 台美臨床差異
美國心理健康中心設有專門的 DBT（辯證行為治療）計畫，台灣精神科病房針對此類個案傾向以藥物調整與保護性約束為主。