UPUMS Nsg.Officer-2024
Child Health Nursing (Pediatrics)
Medium

Play for a pre-school child is necessary for emotional development of?

Appeared in: UPUMS Nsg.Officer-2024

Explanation

  • Preschoolers (3-6 years) are in a developmental stage characterized by imaginative and magical thinking.
  • They use pretend play (dramatic play) to explore and manage complex emotions they cannot yet verbalize.
  • Projection is the mechanism where they attribute their own feelings (like fear, anger, or happiness) to toys, dolls, or imaginary friends.
  • This allows them to process anxieties and understand social roles in a safe, controlled environment.

Why Other Options Were Wrong

  • Option B: Competitive play, which involves structured games with rules and a focus on winning, is characteristic of school-age children (6-12 years), not preschoolers.
  • Option C: The drive for independence is the primary psychosocial task of toddlers (1-3 years), who are in the 'Autonomy vs. Shame and Doubt' stage. While preschoolers build on this, it is not the main purpose of their play.
  • Option D: Introjection is the internalization of others' values and standards into one's own ego structure (e.g., forming a conscience). It is about taking things 'in,' whereas projection in play is about putting feelings 'out' onto external objects.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The role of play in the emotional development of preschool children as background academic context rather than a clinical decision trigger.
  • Nurses can use the principle of projection in play therapy to help hospitalized preschoolers express their fears and anxieties about medical procedures. For example, a nurse might encourage a child to give a 'shot' to a doll to gauge the child's feelings about injections.
  • Understanding developmental stages of play helps in selecting age-appropriate toys and activities for children in healthcare settings, which can reduce stress and promote coping.
  • What if the child was a toddler (2 years old)? The nurse would focus on play that supports autonomy and independence, such as allowing the child to make simple, safe choices with toys (e.g., 'Do you want the red block or the blue block?'), rather than focusing on imaginative scenarios.
How to Approach the Question
  • First, identify the key subject and age group in the question: 'pre-school child' (typically 3-6 years).
  • Next, recall the major developmental theories related to this age group, such as Erikson's stages (Initiative vs. Guilt) and Piaget's stages (Preoperational).
  • Consider the primary characteristics of a preschooler's thinking and play: it is imaginative, magical, and a way to process the world.
  • Evaluate each option in the context of this developmental stage:
  • Does preschool play focus on 'Projection'? Yes, they use pretend play to project feelings.
  • Does it focus on 'Competition'? No, that's more for school-age children.
Concept Tested & Keywords
  • Concept Tested: The role of play in the emotional development of preschool children.
  • Stem keywords: Play, pre-school child, emotional development
  • Lead-in keywords: necessary for
  • Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

Question ID

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Reference Book

E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2817-2819

E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 1 (pp 36-238 of 713) p. 133-135

E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 144-146

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