— 照護管理 · MEDIUM · MCQ —
護理長正在評估新進護理師的委派能力。新進護理師的哪項行為顯示需要進一步教育？
A nurse manager is evaluating a newly licensed nurse's delegation skills. Which action by the new nurse indicates a need for further education?
- ADelegating the ambulation of a post-operative client to a UAP將術後病人的步行活動委派給未註冊護理人員（UAP）
- BDelegating the initial nursing assessment of a new admission to an LPN✓ 正解將新入院病人的初步護理評估委派給註冊護士（LPN）
- CDelegating the collection of vital signs to a UAP將生命徵象測量委派給未註冊護理人員（UAP）
- DDelegating the feeding of a stable client to a UAP將穩定病人的餵食委派給未註冊護理人員（UAP）
— Explanation · 中文詳解 —
根據護理實務規範，專業評估（Assessment）、診斷（Diagnosis）、計畫（Planning）與衛教（Evaluation）屬 RN 核心責任，不可委派。LPN/LVN 僅可執行收集資料，但無法進行臨床評估與決策，因此委派新入院之初步評估給 LPN 是錯誤的。
Initial nursing assessments require professional RN clinical judgment and cannot be delegated to an LPN, who is limited to collecting data rather than performing comprehensive evaluations. Tasks such as ambulation, vital signs, and feeding stable clients are appropriate for delegation to unlicensed assistive personnel.
✦ 台美臨床差異
美國有明確的 LPN 與 UAP 權限劃分；台灣護理團隊多為 RN 與照服員，委派權限常依據醫院規範與人員職責描述。