— 照護管理 · MEDIUM · MCQ —
護理師督導看護人員（UAP）照顧癲癇病史病人，下列何項任務可安全指派？
A nurse is supervising an unlicensed assistive personnel (UAP) caring for a client with a history of seizures. Which task can the nurse safely delegate to the UAP?
- AObtain vital signs for the client✓ 正解測量病人的生命徵象
- BAssess the client's skin integrity during bathing在洗澡時評估病人的皮膚完整性
- CAdminister prophylactic anticonvulsant medication給予預防性抗癲癇藥物
- DObserve the client for potential seizure activity觀察病人是否有潛在的癲癇發作活動
— Explanation · 中文詳解 —
指派（Delegation）原則遵循 Five Rights of Delegation。UAP 可執行常規的生理參數測量（如生命徵象），但涉及評估（Assessment）、教學（Teaching）與複雜的臨床觀察（Observation of clinical status）必須由護理師親自執行。癲癇病人的癲癇發作觀察屬於專業臨床判斷，不可指派。
Delegation follows the Five Rights of Delegation. Unlicensed assistive personnel (UAP) may perform routine measurement of physiologic parameters such as vital signs, but tasks involving assessment, teaching, and complex clinical observation must be performed by the nurse. Observation of seizure activity in a client with a seizure history requires professional clinical judgment and cannot be delegated.