— 照護管理 · EASY · MCQ —
護理師準備分派工作給照護輔助人員（UAP）。下列哪項任務適當？
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP). Which task is appropriate to delegate?
- AAssisting with ambulation of a stable client✓ 正解協助穩定的病人步行
- BAssessing the client's skin turgor評估病人的皮膚彈性
- CFeeding a client who has dysphagia餵食有吞嚥障礙的病人
- DMeasuring urine output via an indwelling catheter透過留置導尿管測量尿液輸出量
— Explanation · 中文詳解 —
UAP 的工作範圍僅限於穩定病人且非侵入性的護理活動。協助下床活動屬於標準輔助照護範疇。評估皮膚彈性屬於專業護理評估，吞嚥困難病人的餵食需防誤吸風險，導尿管尿量測量雖常見，但因涉及無菌技術或管路照護，視醫院規範而定，相較之下 C 絕對安全。
Assisting a stable client with ambulation is within the scope of practice for unlicensed assistive personnel. Assessment tasks, feeding clients with dysphagia, and managing indwelling catheters require nursing judgment and skills.
✦ 台美臨床差異
台灣照服員（看護）權限較美國 UAP 更廣，但在法規層面，護理師對受權責仍保持高度監督責任。