— 心理社會完整性 · MEDIUM · SATA —
護理師評估邊緣性人格障礙個案，應預期出現哪些行為？（選所有適合的）
A nurse is assessing a client who has been diagnosed with borderline personality disorder. Which behaviors should the nurse anticipate? (Select all that apply.)
- ASplitting of staff, viewing some as 'good' and others as 'bad'✓ 正解對護理人員進行分裂，將部分人員視為『好』，部分視為『壞』
- BImpulsive behaviors such as substance abuse or reckless spending✓ 正解衝動行為，如物質濫用或魯莽消費
- CConsistent and stable long-term personal relationships持續且穩定的長期人際關係
- DChronic feelings of emptiness or intense anger✓ 正解慢性空虛感或強烈憤怒
- EFrequent self-mutilating behaviors or suicidal threats✓ 正解頻繁的自我傷害行為或自殺威脅
— Explanation · 中文詳解 —
邊緣性人格障礙（BPD）核心特徵為人際關係不穩、自我形象扭曲及衝動控制障礙。Splitting（分裂）是常見心理防衛機制，將醫護人員二分為極好或極壞。長期穩定關係與 BPD 診斷不符，通常表現為反覆分離與矛盾。
The core features of borderline personality disorder (BPD) are unstable interpersonal relationships, distorted self-image, and impulse control disturbance. Splitting is a common defense mechanism, in which healthcare personnel are dichotomized as either all good or all bad. Long-term, stable relationships are inconsistent with a BPD diagnosis; instead, clients typically display repeated separations and ambivalence.
✦ 台美臨床差異
美國心理衛生照護體系對於 BPD 多採 DBT（辯證行為治療）；台灣則常由精神科醫師主導藥物治療，心理治療資源相對有限。