— 照護管理 · EASY · MCQ —
護理師計畫將任務委派給非執照輔助人員（UAP）。下列哪項任務最適合委派？
A nurse is planning to delegate tasks to an unlicensed assistive personnel (UAP). Which task is most appropriate to delegate?
- AEvaluating a client's response to pain medication評估病人對止痛藥的反應
- BAssisting a stable client with ambulation to the bathroom✓ 正解協助穩定病人步行至廁所
- CAssessing a newly admitted client's skin integrity評估新入院病人的皮膚完整性
- DProviding discharge instructions to a client after surgery提供手術後病人的出院指示
— Explanation · 中文詳解 —
UAP 的工作範圍限於非侵入性且常規性的護理，例如協助穩定病人下床活動、餵食或更換衣物。護理程序中的評估（A、C）與衛教（D）屬於註冊護理師（RN）的核心職責，不可委派。確保委派安全需遵循「正確任務、正確對象、正確溝通、正確督導」原則。
Assisting a stable client with ambulation is a routine task appropriate for unlicensed assistive personnel (UAP). Tasks requiring clinical judgment, such as evaluating medication responses, assessing skin integrity, or providing discharge teaching, must remain with the registered nurse.
✦ 台美臨床差異
美國 UAP 角色明確且普及；台灣臨床上由護理佐理員或照服員分擔，但護理師仍須負擔最終成效責任。