A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist. What is the nurse's best response to this mother's concern?
a. "Have you considered a child psychological evaluation?"
b. "It's very normal for a 5-year-old child to have imaginary playmates."
c. "You should stop your child from playing electronic games."
d. "Pretend play is a sign your child watches too much television."
ANS: B
At age 5, some children have imaginary playmates. Imaginary playmates are a sign of health and allow the child to distinguish between reality and fantasy. The child does not need a psychological evaluation based on this information. Television, videos, electronic games, and computer programs help support development and the learning of basic skills. However, these should be only one part of the child's total play activities.
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