— 照護管理 · EASY · MCQ —
護理師可委任哪項工作給輔助人員（AP）？
A nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate for the nurse to delegate?
- AAssisting a client with ambulation after a hip replacement✓ 正解協助髖關節置換術後的病人行走
- BAssessing the lung sounds of a client with asthma評估哮喘病人的肺部呼吸音
- CProviding patient education regarding discharge medications提供關於出院藥物的病人衛教
- DEvaluating the skin integrity of a patient with a pressure ulcer評估壓瘡病人的皮膚完整性
— Explanation · 中文詳解 —
委任原則（Delegation）強調：評估（Assessment）、教導（Teaching）、評值（Evaluation）與複雜病況護理（Complex Care）不得委任。協助行走屬基本照護（ADLs），適合交由受訓過的輔助人員執行。其他選項均涉及專業評估或病人教育，需護理師親自執行以確保病人安全。
Delegation principles prohibit nurses from assigning tasks involving assessment, teaching, evaluation, or complex clinical judgment to assistive personnel. Assisting a stable client with ambulation is considered a basic activity of daily living and falls within the AP's scope of practice. In contrast, assessing lung sounds, providing medication education, and evaluating skin integrity require professional nursing expertise.
✦ 台美臨床差異
台灣 AP 角色較為模糊，病患基本照護多由家屬分擔或照服員協助，責任歸屬需嚴謹釐清。