— 心理社會完整性 · HARD · SATA —
患有邊緣性人格障礙的個案，出現哪些行為需要護理師立即介入？（選所有適合的）
Which behaviors by a client with Borderline Personality Disorder require immediate nursing intervention? (Select all that apply.)
- ASplitting staff members分化護理人員
- BSelf-mutilation or cutting✓ 正解自殘或割傷
- CExpressing feelings of abandonment表達被遺棄的感覺
- DAttempting to manipulate the unit schedule試圖操弄病房的排程
- EEngaging in suicidal threats✓ 正解發出自殺威脅
— Explanation · 中文詳解 —
邊緣性人格障礙（BPD）病人常見行為包括分裂（Splitting）與操控（Manipulation），雖需護理介入管理（如團隊一致性），但直接危及生命的安全事件（自殘、自殺威脅）才是最優先需採取保護性介入的項目。
While splitting and manipulation are characteristic behaviors of Borderline Personality Disorder requiring consistent limit-setting, they do not constitute immediate life-threatening emergencies. Self-mutilation and suicidal threats represent high-priority safety concerns that require immediate nursing intervention to ensure client protection and assess risk.
✦ 台美臨床差異
台美在處理這類病人時都強調行為契約（Behavioral Contract），但美國護理師有更多權限調整病室環境以確保安全。