— 心理社會完整性 · HARD · MCQ —
一位人格障礙病人對護理人員展現操弄行為。下列哪種方式最有效？
A client with personality disorder is exhibiting manipulative behaviors toward the nursing staff. What is the most effective approach?
- AConfront the client individually to avoid embarrassing them單獨與病人對峙以避免使其尷尬
- BAssign one nurse to handle the client's requests exclusively指派一名護理師專門處理該病人的需求
- CCommunicate consistent limits among all team members✓ 正解全體團隊成員溝通並維持一致的界線
- DAllow the client some leeway to build rapport給予病人一些彈性以建立良好關係
— Explanation · 中文詳解 —
操弄行為的應對關鍵在於團隊的一致性（Consistency）。A個別會談易被病人利用；C給予空間會被操弄利用；D單一護理師容易陷入「被分裂（Splitting）」的陷阱。團隊建立一致的原則與界線是避免被操控的唯一方法。
Managing manipulative behavior in clients with personality disorders requires consistent boundaries across all healthcare team members. Consistency prevents the client from exploiting differences among staff, a tactic known as splitting. Individual confrontations or assigning a single nurse can inadvertently reinforce manipulative patterns or lead to staff burnout.
✦ 台美臨床差異
台灣精神科病房常透過交班會議與團隊共識來執行界線管理，以避免醫護人員被病人情緒勒索。