— 照護管理 · MEDIUM · MCQ —
護理師監督新進護理師委託輔助人員（AP）執行任務，哪項操作需要護理師介入？
A nurse is supervising a newly licensed nurse who is delegating tasks to an assistive personnel (AP). Which action by the new nurse requires intervention?
- AAsking the AP to document the amount of oral fluid intake要求輔助人員記錄口服液體攝取量
- BRequesting the AP to assist a stable client with ambulation請求輔助人員協助病情穩定的病人步行
- CAsking the AP to feed a client who has dysphagia✓ 正解要求輔助人員餵食有吞嚥困難的病人
- DDirecting the AP to obtain vital signs for a post-operative client指示輔助人員為術後病人測量生命徵象
— Explanation · 中文詳解 —
護理委任（Delegation）遵循「五個權利」（Five Rights of Delegation）。輔助人員（AP）僅能執行常規、穩定的照護任務。任何涉及「護理評估」（Assessment）、「教學」（Teaching）或「高風險護理」（如吞嚥困難病人的進食）的任務，均屬護理師（RN）的職責，不得委任。
Delegation follows the Five Rights of Delegation. Assistive personnel (AP) may perform only routine, stable care tasks. Any task involving nursing assessment, teaching, or high-risk care (such as feeding a client with dysphagia) belongs to the registered nurse (RN) and cannot be delegated.
✦ 台美臨床差異
在美國臨床中，吞嚥困難病人的進食（Feeding）有時會涉及言語治療師（SLP）的指導，RN 必須確保 AP 完全遵守食譜質地（如 Thickened liquids）要求，若非受過專門訓練的 AP，RN 需親自執行或密切監督。