The nurse is observing the behavior of a preschool-age child and becomes concerned. Which observation suggests that the child's thinking is inconsistent with normal preschooler growth and development?

A) Refusing to play with "real" children
B) Refusing to go to bed without the friend
C) Insisting that an imaginary friend have dinner with the family
D) Insisting that an imaginary friend watch television with the child


A
Feedback:
Many preschoolers have an imaginary friend who plays with them. Imaginary friends are a normal, creative part of the preschool years and can be invented by children who are surrounded by real playmates as well as by those who have few friends. As long as the child has exposure to real playmates and imaginary, do not take center stage in the child's life or prevent them from socializing with other children; the imaginary friend should not pose a problem. Refusing to go to bed without the friend, having the friend eat dinner with the family, and watching television with the imaginary friend are all acceptable behaviors by the preschool-age child.

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