— 心理社會完整性 · HARD · MCQ —
一位人格障礙患者表現出「分裂」（splitting）行為。護理團隊採取何種方針最有效？
A client with personality disorder exhibits 'splitting' behavior. Which approach is most effective for the nursing team?
- AIgnore the splitting behavior to avoid reinforcement忽視分裂行為以避免強化
- BConfront the client individually when they criticize a colleague當病人批評同事時個別與病人對質
- CConsistent communication and a unified care plan✓ 正解一致的溝通與統一的護理計畫
- DAssign a different nurse each shift to prevent attachment每班指派不同的護理師以防止依附關係
— Explanation · 中文詳解 —
分裂行為（Splitting）是邊緣性人格障礙（Borderline personality disorder）常見的防衛機制，病人會將醫護團隊成員區分為「好人」與「壞人」，藉此操弄團隊並獲取情緒滿足。處理此行為最有效的策略是「團隊一致性」。所有護理人員必須維持一致的溝通方式，並依據統一的照護計畫執行，確保病人無法在成員間進行分化，這是改善病人行為與維持治療環境穩定性的關鍵。
Splitting involves viewing staff as either all good or all bad, often used to manipulate the care environment. The most effective nursing strategy is maintaining consistent communication and a unified care plan across the entire team to prevent the client from dividing staff members.