護理師看到輔助人員(AP)錯誤使用移位機,護理師應採取的第一個行動為何?
A nurse witnessess an assistive personnel (AP) using a lift incorrectly. What is the nurse's priority action?
- AIntervene immediately to prevent injury✓ 正解立即介入以防止傷害
- BDocument the incident in the client's chart在病人病歷中記錄該事件
- CReport the incident to the nursing supervisor向護理主管報告該事件
- DDiscuss the error with the AP at the end of the shift在輪班結束時與輔助人員討論該錯誤
護理核心原則為病人安全(Patient Safety)。當護理師發現輔助人員(AP)操作失誤,且該行為可能對病人造成直接傷害時,護理師的首要任務是立即介入(Intervene immediately)。NCLEX 考試強調「安全優先」原則,面對潛在危險時,必須先停止危險行為,事後再透過回報、行政流程或教育輔導來解決結構性問題。等待或事後處理都無法避免當下的受傷風險。
The core nursing principle is patient safety. When the nurse identifies an error by assistive personnel (AP) that may directly harm the client, the nurse's first action is to intervene immediately. The NCLEX emphasizes that safety comes first, and when a potential hazard exists, the unsafe action must be stopped immediately; reporting, administrative follow-up, and educational counseling can address structural issues afterward. Delaying action or handling it after the fact cannot prevent the immediate risk of injury.