一位診斷為反社會人格障礙的病人入院。護理師最可能觀察到下列哪種行為？
A client is admitted to the psychiatric unit with a diagnosis of Antisocial Personality Disorder. Which behavior is the nurse most likely to observe?
- ALack of remorse for mistreating others✓ 正解對虐待他人缺乏悔意
- BSocial withdrawal and avoidance of others社交退縮並避免與人接觸
- CFear of abandonment and unstable relationships害怕被拋棄且人際關係不穩定
- DExcessive need for admiration and grandiosity過度需要讚美與自大
反社會人格障礙的核心特徵是對他人權利的無視與侵犯、缺乏悔意或愧疚感，且常有操弄他人或違法行為。選項 B 多見於迴避型人格；C 是自戀型人格的特徵；D 是邊緣型人格障礙的典型表現。護理此類病人需設定明確的行為規範（Boundaries），以防其操弄護理人員或違反病房規則。
A hallmark of antisocial personality disorder is a pervasive disregard for the rights of others and a lack of remorse or guilt for harmful actions. Unlike avoidant or schizoid disorders characterized by social withdrawal, or borderline disorder marked by fear of abandonment, antisocial individuals often manipulate others and violate social norms. Nurses must establish firm boundaries to manage these behaviors effectively.
美國 NCLEX 考題常著重於護理師如何設定 Limit Setting（界限設定）；台灣實務中對此類病人的管理有時會更傾向於醫療戒護而非單純心理輔導。