— 照護管理 · MEDIUM · MCQ —
護理師委派任務給輔助人員（UAP），下列哪項是適當的委派？
A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which action is appropriate for the nurse to delegate?
- AAssessing a client's surgical incision site評估病人的手術切口部位
- BEducating a client on insulin administration教育病人關於胰島素的施用
- CAssisting a stable client with bathing and hygiene✓ 正解協助穩定的病人洗澡與清潔
- DDetermining the effectiveness of pain medication決定止痛藥的療效
— Explanation · 中文詳解 —
護理委派原則遵循「ADPIE」模式，凡涉及評估（Assessment）、診斷（Diagnosis）、計畫（Planning）、教學（Education/Evaluation）等專業決策，皆不可委派。UAP 可處理日常生活照護活動，但病人必須處於穩定狀態。
Delegation follows the ADPIE framework, reserving assessment, diagnosis, planning, teaching, and evaluation for licensed nurses. Assisting a stable client with activities of daily living, such as bathing and hygiene, is within the scope of practice for Unlicensed Assistive Personnel.
✦ 台美臨床差異
美國 UAP 角色定位明確且受法規保障；台灣照服員通常由醫院層級規範，護理師仍需負擔較多教學與評估責任。