— 心理社會完整性 · MEDIUM · MCQ —
護理師評估一位診斷為邊緣型人格障礙的病人。護理師應預期該病人會出現哪種行為？
A nurse is interviewing a client who has been diagnosed with borderline personality disorder. Which behavior should the nurse anticipate?
- ASplitting of staff, viewing some as good and others as bad✓ 正解將護理人員分裂看待，認為某些人是好的，某些人是壞的
- BLack of interest in interpersonal relationships對人際關係缺乏興趣
- CConsistent adherence to hospital rules持續遵守醫院規定
- DGrandiosity and need for constant admiration自大且需要持續的讚美
— Explanation · 中文詳解 —
邊緣型人格障礙的病人常展現「分裂」(Splitting) 的心理防衛機制，即非黑即白地看待他人，將護理人員分為救世主或迫害者。此行為源於個體無法統合正負面特質，導致團隊照護挑戰。其他選項如自戀型人格特質（D）或情感淡漠（B）並非此疾患之核心特徵。
Clients with borderline personality disorder commonly exhibit splitting, a defense mechanism where they view people as either all good or all bad. This behavior often creates conflict among healthcare staff and complicates the therapeutic relationship.
✦ 台美臨床差異
美國護理教育強調邊緣型人格的團隊溝通（Consistent approach）；台灣臨床則更著重於危機處理與約束評估。