護理師在評估一位邊緣性人格疾患的個案時，個案說：「只有你真正了解我，其他護理師都很刻薄。」護理師應如何回應？
A nurse is interviewing a client who has been diagnosed with borderline personality disorder. The client says, 'You are the only person who actually understands me, the other nurses are so mean.' What is the appropriate response by the nurse?
- AIt sounds like you are feeling frustrated with the care you are receiving✓ 正解聽起來你對接受的照護感到挫折
- BI am glad we have a good connection, but let's talk about the care plan很高興我們有良好的連結，但讓我們談談照護計畫
- CI agree, they do not seem very professional today我同意，他們今天看起來不太專業
- DLet's focus on the nurses you feel comfortable with讓我們專注於你覺得舒適的護理師
此為典型的分裂（Splitting）行為，個案試圖透過拉攏護理師來製造醫護團隊的不和。護理師應保持專業中立，並將焦點轉回個案的情緒感受，幫助其學習以更成熟的方式處理對醫護人員的不滿，避免落入個案的心理操弄陷阱。
The client is exhibiting splitting, a defense mechanism common in borderline personality disorder, by idealizing the nurse and devaluing others. The appropriate response is to remain neutral and validate the client's underlying feelings of frustration without reinforcing the manipulative behavior or agreeing with negative comments about other staff.
在美國對於 Splitting 行為有標準的團隊處理機制；台灣較常由督導或資深學姊協助調整護理人員的心理負擔。