Parents ask the nurse, "Should we be concerned our preschooler has an imaginary friend, and how should we react?" Which responses should the nurse give to the parents? (Select all that apply.)
a. "The imaginary playmate is a sign of health."
b. "You can acknowledge the presence of the imaginary companion."
c. "It is normal for a preschool-aged child to have an imaginary friend."
d. "If your child wants a place setting at the table for the child, it is best to refuse."
e. "It is OK to allow the child to blame the imaginary playmate to avoid punishment."
ANS: A, B, C
Parents should be reassured that the child's fantasy is a sign of health that helps differentiate between make-believe and reality. Parents can acknowledge the presence of the imaginary companion by calling him or her by name and even agreeing to simple requests such as setting an extra place at the table, but they should not allow the child to use the playmate to avoid punishment or responsibility.
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