— 照護管理 · EASY · MCQ —
護理師正為內外科病房的輔助人員（AP）分配工作。下列哪項工作最適合交辦給 AP？
A nurse is preparing to assign tasks to an assistive personnel (AP) on a medical-surgical unit. Which task is appropriate for the AP?
- AMeasuring the intake and output of a client with a new nephrostomy tube測量患有新腎造廔管的病人的出入量
- BObtaining vital signs for a client who is two hours postoperative為術後兩小時的病人測量生命徵象
- CTeaching a client how to perform self-blood glucose monitoring教導病人如何進行自我血糖監測
- DAssisting a client who is post-stroke with ambulation to the bathroom✓ 正解協助中風後病人步行至廁所
— Explanation · 中文詳解 —
輔助人員（AP）職責在於協助生活起居與基礎數據測量，執行標準化、穩定且無須進行複雜評估的程序。中風病人的步行訓練屬於復健與日常照護範疇。A、B 項雖為測量，但新置入導管或術後兩小時需專業護理評估，風險較高；C 項衛教屬於護理專業範疇，不得授權。
Assistive personnel are trained to perform standardized, routine tasks such as assisting with ambulation and activities of daily living. Tasks requiring complex clinical assessment, such as managing new nephrostomy tubes or monitoring unstable postoperative patients, must be performed by licensed nurses. Additionally, patient education is a specialized nursing responsibility that cannot be delegated.
✦ 台美臨床差異
美國 AP（如 CNA）職責明確；台灣護理佐理員工作範圍常模糊，且護理師需負擔大量輔助工作。