護理師在內外科病房進行工作分配，下列哪位病人最適合交由輔助人員（UAP）照顧？
A nurse is working on a medical-surgical unit and is assigning care for a group of clients. Which client is the most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AA client who is 2 days post-op after a total hip replacement and requires ambulation assistance.✓ 正解全髖關節置換術後兩天、需要協助行走的客戶
- BA client with a change in mental status and new onset of confusion.出現精神狀態改變及新發譫妄的客戶
- CA client who requires complex wound dressing changes and monitoring of drainage.需要複雜傷口換藥及引流液監測的客戶
- DA client newly admitted with suspected pulmonary embolism and respiratory distress.新入院疑似肺栓塞且有呼吸困難的客戶
工作分配原則應依據「穩定性」與「複雜度」。全髖關節置換術後第 2 天的病人，若病情穩定且需下床活動，屬於護理輔助人員可執行的日常護理範疇。其餘選項分別涉及緊急醫療狀況、神經系統變化或高度專業護理技術，皆須由註冊護理師親自執行評估與照護。
Assignment principles should be based on 'stability' and 'complexity.' A client on postoperative day 2 after total hip replacement, if stable and requiring ambulation, falls within the routine care scope that unlicensed assistive personnel (UAP) can perform. The other options involve emergent medical conditions, neurologic changes, or highly specialized nursing skills that must be assessed and managed directly by a registered nurse.
美國 UAP 職責明確；台灣臨床環境中，照服員職責常與護理師重疊，但護理評估與技術層面仍需護理師負責。