The nurse is developing a nursing care plan for a hospitalized 6-year-old. Which behavior would warrant nursing intervention?
A) The child pretends he is talking to an imaginary friend when the nurse addresses the child.
B) The child states that her fairy godmother is going to come and take her home.
C) The child starts talking about his grandmother and then quickly changes the subject to a new toy he received.
D) The child does not want to play games with other children on the hospital ward.
Ans: D
The preschooler begins to plan activities, make up games, and initiate activities with others. Not wanting to play games with other children is a sign of a developmental delay and nursing intervention is recommended. The preschooler often has an imaginary friend who serves as a creative way for the preschooler to sample different activities and behaviors and practice conversational skills. Through make-believe and magical thinking, preschool children satisfy their curiosity about differences in the world around them. The preschooler uses transduction when reasoning: he or she extrapolates from a particular situation to another, even though the events may be unrelated.
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