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照護管理 · MEDIUM · MCQ

護理師督導新進護理師將任務委派給照護輔助人員(UAP)。下列哪項行為需要督導護理師介入?

A nurse is supervising a newly licensed nurse who is delegating tasks to an unlicensed assistive personnel (UAP). Which action by the newly licensed nurse requires intervention?

  • AAsking the UAP to reinforce teaching on insulin injection techniques✓ 正解
    請照護輔助人員(UAP)強化胰島素注射技術的衛教
  • BRequesting the UAP to measure and record the client's vital signs
    請照護輔助人員(UAP)測量並記錄病人的生命徵象
  • CDelegating the collection of a stool specimen to the UAP
    指派照護輔助人員(UAP)採集糞便檢體
  • DDirecting the UAP to assist a stable client with ambulation
    指示照護輔助人員(UAP)協助穩定的病人行走
Explanation · 中文詳解

護理師無法委派護理專業評估、教育或臨床判斷。衛教(Teaching)屬於專業護理範疇,不可委派給 UAP。UAP 僅可執行標準化、重複性且低風險的技術(如量體溫、採集檢體、輔助行動),教育病人涉及評估學習需求與理解程度,需由註冊護理師親自執行。

A nurse cannot delegate professional nursing assessment, teaching, or clinical judgment. Patient teaching is within the scope of professional nursing and cannot be delegated to a UAP. UAPs may perform only standardized, repetitive, low-risk tasks (such as taking temperatures, collecting specimens, or assisting with ambulation); patient teaching requires assessment of learning needs and comprehension and must be performed by a registered nurse.

✦ 台美臨床差異

美國 UAP 職權範圍明確,但在台灣護理機構中,類似功能的照服員常被要求執行超出專業範疇的醫療行為,需嚴格把關。

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