— 照護管理 · EASY · MCQ —
護理師將工作委派給輔助人員（AP），下列哪項任務適合委派？
A nurse is delegating tasks to an assistive personnel (AP). Which task is appropriate to delegate?
- ADeveloping a plan of care for a new admission為新入院病人擬定護理計畫
- BAdministering oral medications to a client給予病人口服藥物
- CAssessing a client's surgical wound評估病人的手術傷口
- DAssisting a stable client with ambulation✓ 正解協助狀況穩定的病人步行
— Explanation · 中文詳解 —
護理委派（Delegation）遵循「護理過程（Nursing Process）」原則，即「評估（Assessment）、計畫（Planning）、評值（Evaluation）」皆不可委派。輔助人員（AP）僅能執行穩定病人且具備標準化步驟的日常照護任務。協助行走是基礎 ADL，不涉及複雜的臨床判斷，適合委派。
Assisting a stable client with ambulation is appropriate to delegate to assistive personnel because it involves standard activities of daily living without requiring complex clinical judgment. Tasks such as developing a plan of care, administering medications, and assessing wounds require nursing process skills like assessment and evaluation, which cannot be delegated.
✦ 台美臨床差異
在美國，AP（如 CNA）的職責範圍依各州護理執業法規（Nurse Practice Act）嚴格定義，RN 對於委派的任務負有最終責任（Accountability）。