— 照護管理 · EASY · MCQ —
護理師督導一位新進護理師分配工作給輔助人員（AP）。哪項行為需要督導介入？
A nurse is supervising a newly licensed nurse who is delegating tasks to an Assistive Personnel (AP). Which action by the newly licensed nurse requires intervention?
- AAsking the AP to feed a client who has dysphagia✓ 正解請輔助人員餵食有吞嚥障礙的客戶
- BAssigning the AP to ambulate a client who is 2 days post-op指派輔助人員協助術後兩天的客戶散步
- CRequesting the AP to obtain a blood glucose reading要求輔助人員測量血糖讀數
- DAssigning the AP to assist a stable client with hygiene care指派輔助人員協助病情穩定的客戶進行衛生護理
— Explanation · 中文詳解 —
吞嚥障礙（dysphagia）的病人進食風險高，容易引發吸入性肺炎。依據護理實務準則，與營養補充、吞嚥安全評估相關的任務需由專業護理師執行，不可委託給輔助人員。其餘選項皆屬於輔助人員可執行的常規照護範疇。
Clients with dysphagia have a high risk during eating and can readily develop aspiration pneumonia. Under nursing practice standards, tasks related to nutritional support and swallowing safety assessment must be performed by a licensed nurse and cannot be delegated to assistive personnel. The other options fall within routine care that may be performed by assistive personnel.
✦ 台美臨床差異
美國對 delegation 界線明確；台灣護佐（照服員）功能定位與美國 AP 相近，但在分層授權上台灣較傾向模糊，常由護理師分擔部分照顧工作。