— 心理社會完整性 · HARD · MCQ —
一位邊緣性人格障礙個案即將出院。護理師應強調哪項目標最為重要？
A client with borderline personality disorder is being discharged. Which goal is most important for the nurse to emphasize?
- AEliminating all negative emotions.消除所有負面情緒。
- BChanging the client's personality traits.改變病人的人格特質。
- CEstablishing healthy interpersonal boundaries.✓ 正解建立健康的人際界線。
- DAvoiding all contact with former friends.避免與舊友的所有聯繫。
— Explanation · 中文詳解 —
邊緣性人格障礙個案的核心問題在於人際關係不穩與界線模糊。建立健康的人際界線能有效降低衝動行為與情緒波動，是出院計畫的核心目標。A 與 B 皆為不切實際的治療目標；D 選項為過度極端的社交隔離，不利於社會功能恢復。
The core problem in clients with borderline personality disorder is unstable interpersonal relationships and unclear boundaries. Establishing healthy interpersonal boundaries effectively reduces impulsive behaviors and emotional lability and is the central goal of the discharge plan. Options A and B are unrealistic treatment goals; option D represents excessive social isolation, which is detrimental to recovery of social functioning.
✦ 台美臨床差異
美國多採用辯證行為治療（DBT）來處理邊緣性人格；台灣臨床則多以藥物控制情緒與短期住院行為管理為主。