Certified Pediatric Nurse (CPN)

How should a nurse respond to a mother concerned about her child's imaginary friend?

1. This is unusual, has she had a stressful event lately?

2. Many 4-year-olds have imaginary friends, it isn't of concern

3. It's a cause for concern as long as she doesn't talk to it

4. This is uncommon and the child is very smart

The correct answer is: Many 4-year-olds have imaginary friends, it isn't of concern

The best response to a mother concerned about her child's imaginary friend is that many 4-year-olds have imaginary friends, and it isn't of concern. This perspective is grounded in child development; it is common for children in the preschool age group to create imaginary companions as a part of their play and imaginative development. Imaginary friends can serve crucial roles in a child's emotional and social development. They can provide comfort, encourage creativity, and help children navigate friendships and social interactions. Understanding that this behavior is typical allows parents to feel reassured rather than anxious, promoting a healthy attitude toward their child's development. Recognizing that the presence of an imaginary friend is common and typically not a sign of underlying issues helps validate the child's creativity and imaginative play. This approach encourages open and supportive communication between the parent and the child regarding imagination and social interactions.