A 5-year-old girl tells everyone she meets about the recent death of her family's dog. Then she says, "One day, I am going to die, and so will you." Which of the following statements is correct?
The child is too young to be concerned with death; she should be evaluated by a psychiatric expert
This child should not be discussing personal issues without the consent of her parents; the family should be referred to therapy
Her behavior is normal and requires no intervention
Her behavior requires examination; she is obsessed with death because she talks about it with everyone she meets
The Correct Answer is C
Choice A reason: While young children’s understanding of death evolves, curiosity and verbalization about death is a normal developmental stage around age 5. Immediate psychiatric evaluation is not indicated unless accompanied by distress, dysfunction, or unusual behaviors.
Choice B reason: Discussing personal feelings in children is a healthy way to process grief. Intervening solely because a child talks about death is unnecessary if she is otherwise functioning normally.
Choice C reason: Normal developmental understanding of death includes curiosity and sometimes existential statements. The child’s expression reflects natural processing of loss and awareness of mortality, requiring observation rather than intervention.
Choice D reason: The child does not display obsessive preoccupation or functional impairment. Normal grief and cognitive development explain the behavior without pathologizing it.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Industry vs. Inferiority occurs in school-aged children and relates to competence, not isolation or emotional detachment.
Choice B reason: Initiative vs. Guilt occurs in early childhood and primarily influences purposeful action and initiative rather than adult interpersonal relationships.
Choice C reason: Identity vs. Role Confusion occurs in adolescence and relates to self-concept; failure here is associated with identity issues but not specifically with emotional detachment.
Choice D reason: Intimacy vs. Isolation occurs in young adulthood; failure to achieve intimacy can result in social withdrawal, emotional detachment, and difficulty forming close relationships, which is characteristic of schizoid personality disorder.
Correct Answer is C
Explanation
Choice A reason: The Child Behavior Checklist is a broad behavioral assessment, not specific for autism, and is more suitable for older children.
Choice B reason: The Conners Teacher Rating Scale is designed to assess ADHD symptoms in school-aged children, not toddlers.
Choice C reason: This is the correct answer. The M-CHAT is a validated screening tool for autism in toddlers aged 16–30 months and is widely used for early detection of autism spectrum disorder.
Choice D reason: The Vanderbilt Teacher Rating Scale is designed for ADHD evaluation in school-aged children and is not appropriate for autism screening in toddlers.
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