A preschool aged child tells the nurse "I was bad, that's why I got sick.". Which 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
The child has imaginative thoughts at this stage of growth and development. 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. Preschoolers do not have the cognitive ability to connect mutilation to death and do not have a sound understanding of body integrity. 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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