下列哪項任務適合護理師委派給經驗豐富的照服員（UAP）？
Which of the following tasks is appropriate for the nurse to delegate to an experienced UAP?
- AAssessing the skin integrity of a client with limited mobility評估活動受限病人的皮膚完整性
- BDeveloping a plan of care for a client recovering from surgery為術後恢復中的病人擬定照護計畫
- CAdministering oral medications to a client in a stable condition對狀況穩定的病人給予口服藥物
- DAssisting a stable client with personal hygiene and ambulation✓ 正解協助狀況穩定的病人進行個人衛生與行走
委派（Delegation）的核心原則在於運用護理職責矩陣（Nursing Scope of Practice）。護理師應將「穩定、可預測、低風險」的日常活動委派給輔助人員（UAP/CNA）。評估（Assessment）、教學（Teaching）與擬定護理計畫（Planning）屬於註冊護理師（RN）的專業法定責任，不可委派。本題中，個人衛生與協助活動屬於日常照顧（ADLs），且病人狀況穩定，符合委派指引。臨床思路應優先考慮病人的穩定度與任務的專業層次。
The core principle of delegation is to apply the nursing scope of practice matrix. The nurse should delegate stable, predictable, low-risk daily activities to unlicensed assistive personnel (UAP/CNA). Assessment, teaching, and care planning are the registered nurse's (RN) professional and legal responsibilities and cannot be delegated. In this question, personal hygiene and ambulation assistance are activities of daily living (ADLs) for a stable client and meet the delegation criteria. Clinical reasoning should prioritize client stability and the professional level of the task.
在美國，UAP（如 CNA）的職責範圍較嚴格，通常僅限於 ADLs。而在台灣，臨床護理師常因人力短缺而將部分給藥或技術性工作委派給照服員，這在 NCLEX 考試中屬於嚴重違規，務必區分兩地差異。