— 照護管理 · MEDIUM · SATA —
護理師可指派給照服員（UAP）執行哪些工作？（選所有適合的）
An unlicensed assistive personnel (UAP) is helping with client care. Which task is appropriate for the nurse to delegate to the UAP? (Select all that apply.)
- AObtaining vital signs for a stable client✓ 正解為穩定病人測量生命徵象
- BAssisting a post-stroke client with eating✓ 正解協助中風後病人進食
- CDocumenting the client's response to pain medication記錄病人對止痛藥的反應
- DAmbulating a client with a walker✓ 正解協助病人使用助行器行走
- EFeeding a client who has a risk of aspiration餵食有誤吸風險的病人
— Explanation · 中文詳解 —
護理指派原則為穩定病人、常規性工作及非侵入性操作。A、B、D 為常規照護工作。C 需要專業評估（評估藥物療效屬護理專業）。E 涉及吞嚥評估與風險，若病人有誤吸風險，餵食應由受過訓練的護理人員或語言治療師執行。
Principles of nursing delegation include stable clients, routine tasks, and non-invasive procedures. A, B, and D are routine care tasks. C requires professional assessment (evaluating medication efficacy belongs to nursing professional practice). E involves swallowing assessment and risk; if the client is at risk for aspiration, feeding should be performed by a trained nurse or speech-language pathologist.
✦ 台美臨床差異
美國護理師對 delegation 權責明確；台灣護理師常需處理過多非護理業務，界線較模糊，但原則上皆不可指派需專業判斷之事項。