— 照護管理 · EASY · MCQ —
護理長正在進行單位護理分配，哪項工作適合授權給助理護理員（UAP）？
A charge nurse is planning assignments for the unit. Which task is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AObtaining vital signs for a stable postoperative client✓ 正解為穩定的術後病人測量生命徵象
- BEducating a client on insulin administration對病人進行胰島素注射衛教
- CFeeding a client who has a history of dysphagia餵食有吞嚥困難病史的病人
- DAssessing the skin condition of a new admission評估新入院病人的皮膚狀況
— Explanation · 中文詳解 —
授權原則（Delegation）要求任務必須是常規性、穩定且不涉及複雜判斷。測量穩定病人的生命徵象屬於基本護理技能，且數據判讀由護理師執行，符合 UAP 工作範疇。評估皮膚、教導胰島素及餵食吞嚥困難病人，皆涉及護理評估或專業處置，屬於護理師的專業義務，不可授權。
Obtaining vital signs for a stable postoperative client is an appropriate task to delegate to Unlicensed Assistive Personnel (UAP) as it involves routine data collection without complex nursing judgment. Tasks requiring assessment, patient education, or monitoring for complications, such as feeding a client with dysphagia, remain within the scope of practice for the registered nurse.
✦ 台美臨床差異
美國 UAP 訓練程度不一（如 CNA/PCT）；台灣病房多由照服員協助，但在法律規範上，同樣不可執行專業護理指導與評估。