— 照護管理 · HARD · MCQ —
下列哪位病人應分配給團隊中最有經驗的護理師？
Which of the following clients should be assigned to the most experienced nurse on the team?
- AA client receiving scheduled oral medications接受定時口服藥物的客戶
- BA client requiring routine dressing changes需要常規換藥的客戶
- CA client who is ambulatory and preparing for discharge能夠行走並準備出院的客戶
- DA client with a new diagnosis of unstable status and complex needs✓ 正解新診斷為狀態不穩定且有複雜需求的客戶
— Explanation · 中文詳解 —
護理排班原則：病情不穩定、複雜度高（如剛診斷、生命徵象不穩）的病人，應分配給資深護理師，以確保能及時識別變化並做出正確決策。 routine 護理、準備出院或僅需給藥的穩定個案，適合分配給資淺或一般護理師照顧。
Clients with unstable conditions or complex needs require the advanced assessment and critical thinking skills of an experienced nurse to ensure timely identification of changes and appropriate decision-making. In contrast, stable clients requiring routine care, such as medication administration or discharge preparation, are appropriate assignments for less experienced staff.
✦ 台美臨床差異
台灣實行責任制護理，但人力吃緊常導致資淺護理師照顧複雜病人，需建立更完善的指導員制度。