— 照護管理 · EASY · MCQ —
護理師正在監督一位未受過專業訓練的人員（UAP）執行個人衛生照護。下列哪項工作適合授權給 UAP？
A nurse is supervising an unlicensed assistive personnel (UAP) regarding client hygiene. Which task is appropriate to delegate to the UAP?
- AEducating a client on how to perform oral care教育病人如何進行口腔護理
- BAssisting a stable client with a bed bath✓ 正解協助穩定型病人進行床上擦浴
- CApplying a medicated ointment to a pressure ulcer將藥膏塗抹於壓瘡
- DAssessing the skin integrity of a bedridden client評估臥床病人的皮膚完整性
— Explanation · 中文詳解 —
授權原則依據護理實務範圍（Scope of Practice），穩定病人的日常生活活動（ADL）如沐浴、進食、更衣屬於 UAP 工作範疇。評估皮膚、給藥以及衛教病人都涉及專業判斷與護理過程，必須由註冊護理師（RN）執行，不可授權。
Assisting a stable client with activities of daily living, such as a bed bath, falls within the unlicensed assistive personnel's scope of practice. Tasks involving patient education, administering medications, and assessing skin integrity require professional nursing judgment and must be performed by a registered nurse.
✦ 台美臨床差異
美國 UAP 工作範圍較廣且明確，台灣看護多為私人聘請，執業範圍較無標準化規範，常涉及跨線操作。