— 照護管理 · MEDIUM · MCQ —
護理師正在督導一名照顧中風病人的照服員（UAP），哪一個行為需要立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP) who is caring for a client with a recent stroke. Which action by the UAP requires immediate intervention?
- AThe UAP turns the client every two hours照服員每兩小時為病人翻身
- BThe UAP provides oral hygiene using a soft-bristled toothbrush照服員使用軟毛牙刷協助口腔清潔
- CThe UAP assists the client with changing their hospital gown照服員協助病人更換醫院病號服
- DThe UAP places the client's water pitcher on the side of the hemiplegia✓ 正解照服員將水杯放在偏癱側旁邊
— Explanation · 中文詳解 —
中風病人常有單側忽略（unilateral neglect）現象。若將水杯放置於偏癱側，病人可能因看不見而無法攝取水分，導致脫水風險。護理師應教導 UAP 將物品放置在患側對側，以鼓勵病人訓練視線並增加安全性。其他選項皆為適當的照護行為。
Stroke patients often have unilateral neglect. If a water cup is placed on the hemiplegic side, the patient may be unable to see it and fail to take in fluids, increasing the risk of dehydration. The nurse should teach the UAP to place items on the unaffected side, while encouraging the patient to train their visual field and enhance safety. The other options are all appropriate care behaviors.
✦ 台美臨床差異
美國 UAP 角色定位明確且訓練規範化，台灣照服員在醫院的角色多變，護理師需更謹慎進行教育與監督。