— 照護管理 · EASY · MCQ —
註冊護理師（RN）正將任務委派給非執照輔助人員（UAP），下列哪項任務最適當？
A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP). Which task is most appropriate to delegate?
- AAssisting a stable client with ambulation to the bathroom✓ 正解協助穩定的病人走到浴室
- BProviding discharge instructions to a client with diabetes為糖尿病患提供出院指導
- CEvaluating a client's response to pain medication評估病人對止痛藥的反應
- DPerforming an initial assessment on a post-operative client對術後病人進行初步評估
— Explanation · 中文詳解 —
UAP 的執業範圍包括協助穩定病人的日常生活活動（ADLs），如行走、餵食和衛生。C、B、D 選項涉及評估、衛教和臨床判斷，這些是護理師（RN）不可委派的責任。護理師必須負責病人的專業評估與出院規劃，確保照護安全與品質。
The scope of practice of UAP includes assisting with the activities of daily living (ADLs) of stable clients, such as ambulation, feeding, and hygiene. Options C, B, and D involve assessment, education, and clinical judgment, which are responsibilities that the registered nurse (RN) cannot delegate. The nurse must be responsible for the professional assessment and discharge planning of the client to ensure safe and quality care.
✦ 台美臨床差異
美國 UAP 角色明確且受法律規範；台灣的照服員或護佐在醫院多從事生活照顧，委派範圍在臨床實務上較模糊。