A preschool-age boy presents to the outpatient clinic for a sore throat. In the child's mind, which is the most likely causative agent of the sore throat?
1. Being exposed to a classmate with strep throat
2. Yelling at sibling for being annoying
3. Not eating the right foods
4. Not taking daily vitamins
2
Explanation:
1. At this age, the child does not yet understand that he can become sick from exposure to someone else who is sick.
2. Preschoolers understand some aspects of being sick, but not the cause of illness. They are likely to think that they are sick as a result of something that they have done. They frequently will view illness as punishment.
3. Not eating the right foods can be a factor in some illnesses, but this thinking is beyond the level of a 4-year-old boy.
4. While not taking his vitamins can be a factor in some illnesses, this thinking is beyond the capabilities of a 4-year-old boy.
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