— 心理社會完整性 · HARD · MCQ —
一位邊緣性人格障礙個案表示：「妳是唯一懂我的護理師，其他人真的很爛。」護理師應如何回應？
A client with borderline personality disorder states, 'You are the only nurse who understands me; the others are terrible.' How should the nurse respond?
- AAgree that the others are not doing their job well同意其他人工作表現不佳
- BState that all staff members are committed to their care✓ 正解表示所有工作人員都致力於照顧病人
- CAsk the client what the other nurses did to upset them詢問其他護理師做了什麼讓病人不滿
- DTell the client that it is wrong to talk about others that way告訴病人那樣談論他人是不對的
— Explanation · 中文詳解 —
邊緣性人格障礙（BPD）的個案常使用「分裂」（Splitting）的防衛機轉，將工作人員分為「好」與「壞」，藉此操弄人際關係。護理師應維持專業界線，避免被個案的挑撥所影響。正確做法是強調團隊的整體性與一致性，讓個案知道所有護理人員皆具備專業照護能力，並拒絕個案將護理人員區分等級的行為，以維護治療性關係。
Clients with borderline personality disorder often use splitting to idealize one staff member while devaluing others. The nurse should maintain professional boundaries and reinforce team unity by stating that all staff are committed to the client's care, thereby neutralizing the manipulation without engaging in conflict or judgment.