— 照護管理 · HARD · MCQ —
護理師準備委派工作時，決定委派是否合適的首要考量因素為何？
A nurse is preparing to delegate tasks. Which of the following should be considered first when determining the appropriateness of the delegation?
- AThe AP's willingness to perform the task助理護士（AP）執行該任務的意願
- BThe current workload of the other nurses其他護理師目前的工作量
- CThe availability of supplies needed for the task執行該任務所需物資的可獲得性
- DThe client's acuity and stability✓ 正解病人的病情嚴重度與穩定性
— Explanation · 中文詳解 —
委派工作（Delegation）的首要考量是病人的安全。如果病人病情不穩定或高度複雜（Acutity），則不可委派，必須由護理師親自照護。病人的安全是委派決策的核心與法律基礎，其餘因素雖重要，但皆次於病人狀態。
The client's acuity and stability are the primary factors in determining appropriate delegation, as patient safety is the legal and ethical foundation of the process. Tasks should only be delegated to unlicensed assistive personnel when the client's condition is stable and the task falls within their scope of practice.
✦ 台美臨床差異
美國護理執業法案（Nurse Practice Act）對 Delegation 有嚴格法律責任定義；台灣護理師常需處理「自動委派」，法律界線相對模糊。