A mother comes to the healthcare clinic for a regular health examination for her 5-year-old son prior to kindergarten admission. Which comment by the mother would indicate the need for follow-up questions to the mother?

Question

a. "He's not a good boy like my other son."
b. "I've had to treat him for lice a couple of times."
c. "He has an imaginary friend he calls Buddy."
d. "He's so funny when he imitates his dad doing things."

Answer 1

A
Negative comments or comparisons with another child can be an indicator of or potential for child abuse. The nurse needs to determine whether this is an actual problem. Head lice are a common health problem for children of this age because of close physical contact during play. The mother seems to have a healthy attitude about the infestations and to be knowledgeable in the treatment. Imaginary play, magical thinking, and belief in mythical figures are normal at age 5 . A child this age will normally imitate the same-sex parent.