— 照護管理 · EASY · MCQ —
護理師與輔助人員（AP/照服員）合作，下列哪項工作適合委派給 AP？
A nurse is working with an assistive personnel (AP). Which task is appropriate to delegate to the AP?
- AEvaluating the skin integrity of a client with a pressure ulcer評估患有壓瘡病人的皮膚完整性
- BAssisting a client with a stable hip fracture to ambulate✓ 正解協助髖骨骨折穩定的病人下床行走
- CAssessing the lung sounds of a client with pneumonia評估肺炎病人的肺部呼吸音
- DEducating a client on the side effects of newly prescribed insulin衛教病人新開立胰島素的副作用
— Explanation · 中文詳解 —
委派原則（Delegation）強調不可委派涉及「護理程序」（Assessment, Planning, Evaluation）及護理專業判斷（Teaching）的任務。選項 B 屬於病人生活起居與身體活動的協助（ADLs），是 AP 的職責範圍。D、A、C 均涉及評估與衛教，必須由護理師親自執行。
The principles of delegation prohibit assigning tasks that involve the nursing process (assessment, planning, evaluation) or professional nursing judgment (such as teaching). Option B involves assistance with activities of daily living (ADLs) and physical movement, which is within the scope of practice of the AP. Options D, A, and C all involve assessment and teaching and must be performed by the licensed nurse.
✦ 台美臨床差異
美國 CNAs 分工極細且法規嚴格；台灣照服員角色較模糊，常協助抽血或基礎醫療程序。