護理師準備主持團體治療。一位患有邊緣性人格障礙的病人頻繁打斷他人。護理師採取哪項行動最合適？
A nurse is preparing to lead a group therapy session. A client with borderline personality disorder frequently interrupts. Which action is most appropriate?
- AAsk the client to leave the group session immediately要求病人立即離開團體治療
- BIgnore the client to avoid reinforcing the behavior忽略該病人以避免強化此行為
- CAllow the client to speak as long as they need to允許病人盡其所需地發言
- DSet limits and remind the client of the group rules✓ 正解設定界限並提醒病人團體規則
對於邊緣性人格障礙（BPD）病人，護理介入的核心在於『設立限制』（Limit Setting）與一致性。BPD 病人常有衝動行為與人際邊界模糊的問題，在團體中打斷他人是缺乏邊界的表現。護理師必須以堅定但非懲罰性的態度，重申團體規範，這不僅能維持團體運作，也能幫助病人學習社交界限。這類病人對被拋棄極度敏感，因此不能直接趕走；若忽視或放任，則會破壞團體的治療性環境，使其餘成員感到被忽視。
Setting firm, consistent limits is essential for clients with borderline personality disorder to maintain structure and safety within the group. Reminding the client of group rules addresses interruptive behavior without being punitive, thereby supporting the therapeutic environment and helping the client learn appropriate social boundaries.
美國精神科病房強調『Milieu Therapy』（環境治療）中行為規範的契約化；台灣在處理 BPD 病人時，有時會因擔心衝突而採取較為退讓或安撫的態度，較少系統性地執行 Limit Setting。