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照護管理 · EASY · MCQ

下列哪項護理任務適合委派給輔助人員(UAP)?

Which of the following nursing tasks is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?

  • AAssisting a patient who is stable to the bathroom✓ 正解
    協助穩定的病人前往浴室
  • BAssessing lung sounds in a patient with pneumonia
    評估肺炎病人的呼吸音
  • CEducating a patient on insulin administration
    教育病人胰島素的施用方法
  • DEvaluating a patient's wound healing progress
    評估病人的傷口癒合進展
Explanation · 中文詳解

NCLEX 委派原則(Delegation)的核心邏輯在於「護理師擁有評估(Assessment)、教學(Teaching)、規劃(Planning)及評估成效(Evaluation)的專屬職責」。輔助人員(UAP)僅能執行標準化、低風險且病情穩定的日常護理任務。協助穩定病人如廁屬於日常生活活動(ADL),風險低且無需專業臨床判斷,適合委派。反之,評估傷口癒合、衛教胰島素注射及聽診呼吸音,皆需要 RN 的專業判斷與責任承擔,不得委派。

Assisting a stable patient to the bathroom is an appropriate task to delegate to Unlicensed Assistive Personnel (UAP) as it involves standard activities of daily living with low risk. Tasks requiring nursing assessment, such as listening to lung sounds, evaluating wound healing, or providing patient education, must remain with the RN due to the need for clinical judgment.

✦ 台美臨床差異

台灣醫院常態由照顧服務員(照服員)協助病患如廁,與美國 UAP 工作範疇高度重疊。但在 NCLEX 考試中,必須嚴格遵守『評估(Assessment)不能委派』的護理倫理標準。

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