護理長在人力短缺時管理單位。下列哪項工作最適合委派給輔助人員（UAP）？
A charge nurse is managing the unit during a staff shortage. Which task is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AAssessing the patient's surgical incision site評估病人的手術切口部位
- BEducating the patient on insulin administration教育病人關於胰島素的施用方法
- CFeeding a patient who has a dysphagia nursing care plan餵食有吞嚥困難護理計畫的病人
- DMeasuring and recording the patient's intake and output✓ 正解測量並記錄病人的出入量
委派（Delegation）的核心原則是將「常規性、穩定性、非侵入性」的任務交給輔助人員（UAP）。RN 必須保留需要專業評估（Assessment）、教導（Teaching）與判斷的職責。測量攝入與排出量（I/O）屬於標準化的數據收集，不涉及臨床判斷，是最適合 UAP 的任務。其他選項涉及評估傷口、照顧高風險吞嚥病人及病患教育，均屬 RN 的專業範疇，不可委派。
Delegation principles dictate that Unlicensed Assistive Personnel (UAP) perform routine, standardized tasks that do not require clinical judgment, such as measuring and recording intake and output. RNs must retain responsibilities involving assessment, teaching, and evaluation of unstable or high-risk patients, making options A, B, and C inappropriate for delegation.
在美國，UAP（如 CNA）的職責範疇受各州護理委員會（BON）嚴格規範，通常僅限於基礎 ADL 和數據收集；而在台灣，部分單位常因人力不足將部分技術性工作委派給照顧服務員，需特別留意 NCLEX 考試中對委派原則的嚴格界定。