— 照護管理 · EASY · MCQ —
護理師委派 UAP 監測生命徵象，下列哪項指示最能確保「正確溝通」原則？
A nurse is delegating vital sign monitoring to a UAP. Which instruction is most appropriate to ensure the 'Right Communication'?
- ALet me know when you have finished taking the vital signs for the entire unit.當你完成整個病區的生命徵象測量後告訴我。
- BCheck the vital signs for all my clients and let me know if anything is wrong.檢查我所有客戶的生命徵象，如果有問題再告訴我。
- CPlease take the blood pressure of the client in room 302 sometime this morning.請在今天早上某個時間點測量 302 號房病人的血壓。
- DMeasure the client's blood pressure in room 302 now and report if the systolic is over 160.✓ 正解現在測量 302 號房病人的血壓，若收縮壓超過 160 則回報。
— Explanation · 中文詳解 —
正確溝通（Right Communication）必須包含具體任務、特定時間、明確參數與回報要求。D 選項明確指出了房間號碼、立即執行的時程、以及具體的回報門檻（收縮壓 >160）。其他選項過於含糊，未給予明確的量化標準或優先順序。
Effective delegation requires clear communication that includes specific tasks, defined timeframes, and objective parameters for reporting. Instructing the UAP to measure blood pressure immediately and report if the systolic reading exceeds 160 mmHg ensures that critical clinical data is obtained and communicated promptly, unlike vague instructions that lack actionable thresholds.
✦ 台美臨床差異
在美國 NCLEX 考試中，明確的數值回報是考點關鍵；台灣臨床交班常依賴 UAP 的經驗，但標準化指令可降低錯誤率。