A nurse is conducting a class on obesity for the parents of school-aged children. The parents have correct understanding of the information if they state. "A child with a BMI greater than the percentile is considered obese."

A. Antibiotics are only indicated if a bacterial infection is diagnosed, such as sinusitis. Chronic progressive headaches are usually not caused by bacterial infections, so empiric antibiotic therapy is not appropriate.
B. Referral to a counselor or psychiatric evaluation may be considered if psychosocial factors contribute to headache, but it is not a primary treatment for chronic progressive headaches unless indicated by assessment.
C. Chronic progressive headaches, especially migraines, are often managed with preventive pharmacologic therapy to reduce the frequency and severity of episodes. Discharge instructions would include prescription medications, education on proper use, potential side effects, and lifestyle modifications to prevent triggers. This intervention directly addresses the child’s ongoing headache management.
D. Imaging such as a CT scan is typically reserved for cases with red flag symptoms (sudden onset, neurological deficits, vomiting, altered consciousness) or unclear etiology. It is not routinely included in discharge instructions for known chronic progressive headaches without concerning features.

A. This is a form of regression is incorrect because regression involves reverting to behaviors from an earlier developmental stage (e.g., bedwetting or thumb-sucking) often triggered by stress or illness. Having an imaginary friend is a normal developmental behavior in preschoolers and is not considered regression.

B. Preschool-aged children (ages 3–6) are in Piaget’s preoperational stage and Erikson’s initiative vs. guilt stage, during which imaginative and symbolic play is typical. Imaginary friends are a common expression of magical thinking and creativity, allowing children to explore social roles, practice problem-solving, and express emotions in a safe, controlled way. This behavior is developmentally appropriate and usually does not indicate a psychological problem.

C. Inclusion of imaginary friends may indicate lack of parental attention is incorrect because the presence of imaginary friends is not a sign of neglect or lack of attention. It is a normal aspect of imaginative play, even in children who receive adequate parental interaction and support.

D. She needs to seek psychiatric help for her daughter is incorrect because the presence of an imaginary friend in a preschooler is not pathological. Unless accompanied by other concerning behaviors (e.g., social withdrawal, aggression, developmental regression), it is considered a normal developmental phenomenon.