— 心理社會完整性 · HARD · MCQ —
一位患有人格障礙的病人出現操弄行為。最有效的護理方式為何？
A client with personality disorder displays manipulative behavior. What is the most effective nursing approach?
- AChange the rules whenever the client gets angry當病人生氣時改變規則
- BAllow the client to have special privileges允許病人享有特殊權利
- CAvoid interacting with the client避免與病人互動
- DMaintain consistent expectations and rules across all staff✓ 正解在所有護理人員之間維持一致的期望與規則
— Explanation · 中文詳解 —
人格障礙病人常透過「分裂」（Splitting）技巧（將 staff 分為好壞）來進行操弄。治療的核心策略是全體護理人員必須維持「一致性」（Consistency）。只要規則一致，病人的操弄空間便會消失，有助於其學習穩定的互動模式。
Clients with personality disorders often use 'splitting' to manipulate staff by viewing them as all good or all bad. The most effective nursing approach is to maintain consistent expectations and rules across all team members. Consistency eliminates opportunities for manipulation and helps the client learn stable interaction patterns, whereas changing rules or offering special privileges reinforces the behavior.
✦ 台美臨床差異
台美在精神科病房管理上均強調理性且一致的照護計畫，以避免護理人員被操弄導致專業倦怠。