— 心理社會完整性 · MEDIUM · SATA —
護理師照護一位反社會人格障礙的個案，應觀察到哪些行為？（選所有適合的）
Which behaviors should the nurse expect in a client diagnosed with antisocial personality disorder? (Select all that apply.)
- AConsistently showing remorse for past actions持續對過去的行為表示懊悔
- BDisregard for the rights and feelings of others✓ 正解無視他人的權利與感受
- CLack of empathy for those harmed by their actions✓ 正解對其行為造成傷害的人缺乏同理心
- DConsistent adherence to workplace rules and social norms一致遵守工作場所規則與社會規範
- EFrequent engagement in deceitful and manipulative behaviors✓ 正解頻繁從事欺騙與操縱行為
— Explanation · 中文詳解 —
反社會人格障礙的核心特徵包括缺乏同理心、無視他人權利、習慣性操縱與欺騙，且通常缺乏悔意。他們往往難以維持穩定的職業或遵守社會規則。選項 A 與 D 與該診斷特徵相反，個案通常將錯誤歸咎於他人，而非展現悔意或順從社會規範。
Clients with antisocial personality disorder typically display a pervasive disregard for the rights of others, lack empathy, and engage in deceitful or manipulative behaviors for personal gain. These individuals characteristically show a lack of remorse for their actions and often fail to conform to social norms or maintain stable employment.
✦ 台美臨床差異
台灣對於人格障礙的臨床診斷與照護在精神科體系中較為嚴謹，美式照護更強調結構化行為合約的執行。