註冊護理師 (RN) 可安全地將哪些工作委派給輔助人員 (AP)？(選所有適合的)
Which tasks can the registered nurse (RN) safely delegate to an assistive personnel (AP)? (Select all that apply.)
- AObtaining a clean-catch urine specimen✓ 正解取得清潔中段尿檢體
- BAssisting a stable client with a partial bed bath✓ 正解協助穩定病人進行部分床邊沐浴
- CDocumenting intake and output for a client with a nasogastric tube✓ 正解記錄鼻胃管病人的輸出入量
- DTeaching a client how to perform self-blood glucose monitoring教導病人如何進行自我血糖監測
- EFeeding a client who has a risk for aspiration餵食有誤吸風險的病人
委派（Delegation）需遵循「五項權利」（Five Rights of Delegation），包含正確的任務、情況、人員、溝通與監督。輔助人員（AP）適合執行低複雜度、穩定且常規的照護任務。護理師必須保留需要專業判斷、評估、教學及處理不穩定病人的職責。在本題中，A、B、C 屬於穩定病人的常規照護，而 D 與 E 涉及病人教育與高風險護理，必須由 RN 執行。
Delegation must follow the Five Rights of Delegation: right task, right circumstance, right person, right communication, and right supervision. Assistive personnel (AP) are appropriate for low-complexity, stable, and routine care tasks. The nurse must retain responsibility for tasks that require professional judgment, assessment, teaching, and care of unstable clients. In this item, A, B, and C are routine care for stable clients, while D and E involve client education and high-risk care that must be performed by the RN.
在美國，RN 與 AP（如 CNA）的職責分工非常明確，受到州護理執業法（Nurse Practice Act）嚴格規範。台灣臨床護理師常需承擔更多雜項，但在 NCLEX 考試中，必須嚴格遵守「不評估、不教學、不計畫（No Assessment, No Teaching, No Planning）」的委派原則。