Which situation poses the greatest challenge to the nurse working with a child and family?

a. Twenty-four-hour observation
b. Emergency hospitalization
c. Outpatient admission
d. Rehabilitation admission


B
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A Although preparation time may be limited with a 24-hour observation, this
situation does not usually involve the acuteness of the situation and the high
levels of anxiety associated with emergency admission.
B Emergency hospitalization involves (1) limited time for preparation both for the
child and family, (2) situations that cause fear for the family that the child may
die or be permanently disabled, and (3) a high level of activity, which can foster
further anxiety.
C Outpatient admission generally involves preparation time for the family and
child. Because of the lower level of acuteness in these settings, anxiety levels are
not as high.
D Rehabilitation admission follows a serious illness or disease. This type of unit
may resemble a home environment, which decreases the child's and family's
anxiety.

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