一位 ICU 護理師被支援（Floating）到一般內外科病房。哪位病人的指派最適合她？
An RN is floating from the Intensive Care Unit (ICU) to a medical-surgical floor. Which client assignment is most appropriate for this nurse?
- AA client with chronic COPD who needs assistance with daily activities患有慢性阻塞性肺病且需要協助日常活動的病人
- BA client with diabetes who needs complex discharge teaching患有糖尿病且需要複雜出院衛教的病人
- CA client newly diagnosed with cancer who is grieving新診斷癌症且處於悲傷狀態的病人
- DA client with a chest tube requiring monitoring for a pneumothorax✓ 正解放置胸腔引流管且需監測氣胸的病人
支援護理師應被分配到其核心技能可勝任、且不需深入了解該單位特有流程的病人。ICU 護理師非常熟悉胸管護理與呼吸系統監控（D），這比複雜的出院衛教（B）、基本的 ADLs 協助（A）或深入的心理哀傷輔導（C）更符合其專業。關鍵在於分配「最符合其專業背景」的穩定或急性病人。
A float nurse should be assigned to clients whose care can be managed within the nurse's core competencies and does not require in-depth familiarity with unit-specific workflows. ICU nurses are highly familiar with chest tube care and respiratory monitoring (D), which matches their expertise far better than complex discharge teaching (B), basic ADL assistance (A), or in-depth psychological grief counseling (C). The key principle is to assign stable or acute clients that best match the nurse's professional background.
美國非常強調「能力基礎（Competency-based）」的支援分配；台灣臨床支援常視人力缺口而定，較少考量專科細分技能。