— 照護管理 · EASY · MCQ —
護理師督導一名照顧服務員（UAP）。下列哪項工作適合請 UAP 為癲癇病史的病人執行？
A nurse is supervising an unlicensed assistive personnel (UAP). Which task is appropriate for the UAP to perform for a client with a history of seizures?
- AAssessing the client's post-ictal orientation評估病人發作後的神識狀態
- BAdministering rectal diazepam給予肛門用 Diazepam
- CTeaching the client about seizure triggers教導病人有關癲癇誘發因素
- DObtaining vital signs during the post-ictal phase✓ 正解於發作後期間測量生命徵象
— Explanation · 中文詳解 —
護理工作分配需考量職責範疇。測量生命徵象屬於常規護理輔助工作，適用於 UAP。給藥（B）是護理師職責，評估定向感（A）與衛教（C）均涉及臨床評估與判斷，必須由具備專業執照的護理師執行，不可委派給 UAP。
Obtaining vital signs is a standard, non-invasive task that falls within the scope of practice for unlicensed assistive personnel (UAP). In contrast, neurological assessments, medication administration, and patient education require the clinical judgment and licensure of a registered nurse and cannot be delegated.
✦ 台美臨床差異
美國 UAP 訓練範圍廣；台灣照服員主要負責日常生活照顧，生命徵象測量依醫院規定，部分需由護理師親自完成。