A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

The correct answer is choice b. Perceives death as a punishment. Choice A rationale: Preschool-aged children generally do not understand that death is permanent. They often view death as temporary or reversible, similar to what they see in cartoons. Choice B rationale: Preschoolers may perceive death as a punishment for something they did or thought. This age group often feels guilt and shame, believing their actions or thoughts caused the illness or death. Choice C rationale: Worrying about physical body changes is more typical in older children who have a better understanding of the physical aspects of illness and death. Choice D rationale: Feelings of isolation are more common in older children and adolescents who are more aware of social dynamics and the implications of their illness.