A preschool-aged child tells the nurse "I was bad, that's why I got sick." What is the best rationale for this child's statement?

a. The child has a fear that mutilation will lead to death.
b. The child's imagination is very active, and he may believe the illness is a result of
something he did.
c. The child has a general understanding of body integrity at this age.
d. The child will not have fear related to an IV catheter initiation but will have fear
of an impending surgery.


B
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A The child has imaginative thoughts at this stage of growth and development.
B The child may believe that an illness occurred as a result of some personal deed
or thought or perhaps because he touched something or someone.
C Preschoolers do not have the cognitive ability to connect mutilation to death and
do not have a sound understanding of body integrity.
D The preschooler fears all types of intrusive procedures whether undergoing a
simple procedure such as an IV start or something more invasive such as surgery.

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