護理師準備將任務授權給輔助人員（UAP）。哪位病人最穩定且最適合由 UAP 負責？
A nurse is preparing to delegate tasks to a nursing assistive personnel (UAP). Which client is most stable and appropriate for the UAP's care?
- AA client with a new-onset cardiac arrhythmia who is on a cardiac monitor患有新發性心律不整且正在接受心電圖監測的個案
- BA client with a stable colostomy who requires assistance with an appliance change✓ 正解造瘻口狀況穩定，需要協助更換造口袋的個案
- CA client who is 4 hours postoperative following a total hip replacement全髖關節置換術後 4 小時的個案
- DA client who is being admitted with chest pain and shortness of breath因胸痛和呼吸困難而收治入院的個案
授權 UAP 的首要考量是病人的「穩定度（Stability）」與任務的「可預測性（Predictability）」。選項 B 的病人人工肛門狀況穩定，雖然更換底座需要技巧，但在 UAP 訓練範疇內可協助穩定病人的日常照護。選項 C 是術後 4 小時，處於發生出血或栓塞的高風險期，必須由 RN 評估。選項 A 屬於新發生的心律不整，具高度不穩定性。選項 D 是剛入院且有胸痛症狀的病人，屬於急症評估範疇。只有選項 B 的情況最為可預期且風險最低，符合授權給 UAP 的標準。
The most stable client appropriate for delegation to unlicensed assistive personnel is one with a stable colostomy requiring routine appliance changes. This task falls within the UAP's scope of practice for stable patients, whereas clients with new arrhythmias, recent surgery, or acute chest pain require the advanced assessment skills of a registered nurse.
美國護理師對 UAP 的監督（Supervision）是法律責任，若 UAP 犯錯而 RN 未能妥善評估授權合宜性，RN 需受罰。台灣臨床 UAP 角色較多為私人看護或病房助理，其訓練背景差異大，護理師在授權時需更加謹慎。