— 照護管理 · EASY · MCQ —
護理長正在為一位中風後的病人規劃照護。下列哪項任務最適合委派給輔助人力（AP）？
A nurse manager is planning care for a client following a stroke. Which task is most appropriate to delegate to an assistive personnel (AP)?
- AAssist the client with a partial bed bath✓ 正解協助病人進行部分擦浴
- BEducate the client on range-of-motion exercises衛教病人關節活動度運動
- CEvaluate the client's swallow reflex before eating評估病人進食前的吞嚥反射
- DMonitor the client for signs of aspiration監測病人是否有吸入性肺炎跡象
— Explanation · 中文詳解 —
根據委派原則（Delegation），護理師僅可將標準化、低風險、重複性且穩定病人的照護工作交由 AP 執行。洗澡屬於日常活動（ADLs），不需要專業護理評估。吞嚥評估（C）、監測吸入性肺炎徵兆（D）及衛教（B）皆為護理專業評估與判斷範疇，不得委派。
Assistive personnel may perform standardized, low-risk tasks such as assisting with activities of daily living, including partial bed baths. Clinical assessments, patient education, and monitoring for complications like aspiration require nursing judgment and cannot be delegated.
✦ 台美臨床差異
美國 RN 委派權限明確；台灣醫療場域常因人力不足，將部分技術性或評估性工作委託給照服員，這在法規上存在風險。