Situation: A 5-year-old girl is admitted to the pediatric wa… | 마이메르시 MyMerci
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Nursing Practice II — Maternal and Child Health Nursing
문제

Situation: A 5-year-old girl is admitted to the pediatric ward of a district hospital for 2 weeks of intravenous antibiotics. Her parents work in another city and can visit only on weekends. When the infusion pump alarms at night, the girl tells the nurse, "The machine is crying because it is tired." Which feature of preoperational thought does her statement show?

해설
In animism the preschooler gives life, feelings, and intentions to objects, as when she says the pump is crying because it is tired. Magical thinking is believing that one's own thoughts or actions cause events, egocentrism is being unable to take another's viewpoint, and centration is attending to only one feature of a situation.
같은 주제 다음 문제Situation: A 20-month-old boy is admitted to the pediatric ward of a district hospital for…이 문제가 수록된 문제집PLNE Question Bank 150014,000원 · 무료 체험 가능

심화 해설

Core concept
The statement reflects animism, a hallmark of Piaget’s preoperational stage (roughly ages 2–7 years). In this stage, the child attributes life-like qualities—feelings, intentions, or consciousness—to inanimate objects. When the 5-year-old says the infusion pump is “crying because it is tired,” she is treating the machine as if it has an internal emotional state, which is the defining feature of animism.

Why the other options are incorrect
- Magical thinking involves believing that one’s own thoughts, words, or actions can directly cause external events (e.g., “I wished for rain, so it rained”). The child’s statement does not describe a causal link between her own mind and the pump’s behavior.
- Egocentrism is the inability to take another person’s perspective or recognize that others may see, think, or feel differently. The child is not failing to consider the nurse’s viewpoint; she is projecting a feeling onto an object.
- Centration is focusing on only one salient feature of a situation while ignoring other relevant dimensions (e.g., judging amount by height alone in a conservation task). The child’s comment is not about selective attention to a single physical property.

Developmental context
The preoperational child’s thinking is dominated by symbolic representation and an incomplete differentiation between the mental and physical worlds. Research on the developmental origins of naïve psychology highlights that young children gradually construct an understanding of minds—both their own and others’—and that early forms of mental-state attribution can be overextended to nonhuman or inanimate entities [1]. Animism is one expression of this overextension: the child uses a mental-state vocabulary (“crying,” “tired”) that she has learned from social interactions and applies it to a machine.

Clinical nursing application
In pediatric nursing, recognizing animism helps the nurse interpret a child’s emotional responses to medical equipment. The infusion pump alarm is not merely a mechanical event to the child; it may be perceived as a distressed being. A developmentally appropriate response would acknowledge the child’s feeling without reinforcing a false belief—for example, “The pump is beeping to tell us the medicine is finished. It is not hurt or tired.” This approach validates the child’s perspective while gently correcting the misattribution.

FeatureDefinitionExample in a 5-year-old
AnimismGiving life, feelings, or intentions to inanimate objects“The pump is crying because it is tired.”
Magical thinkingBelieving one’s own thoughts or actions cause external events“I made the sun come out by singing.”
CentrationFocusing on only one aspect of a situationThinking a tall, thin cup holds more than a short, wide cup with the same volume
EgocentrismInability to take another person’s viewpointCovering one’s own eyes and assuming others cannot see them


Key point! The preschooler’s attribution of a human emotional state (“crying,” “tired”) to a nonliving machine is the operational definition of animism, not magical thinking, centration, or egocentrism. Watch out! Animism and magical thinking can appear together in preoperational children, but the exam discriminates them by the content of the statement: animism concerns the object’s own supposed feelings, while magical thinking concerns the child’s causal power over events [1].
References (research sources)
  • [1]
    The developmental origins of naïve psychology in infancy.Research articlePoulin-Dubois D, Brooker I, Chow V (2009) · DOI: 10.1016/s0065-2407(09)03702-1

임상 시나리오

Preoperational Thought in Hospitalized ChildrenRecognizing Animism in Pediatric Assessments

Children in the preoperational stage (ages 2–7 years) commonly attribute life-like qualities to inanimate objects. A child saying an infusion pump is "crying because it is tired" demonstrates animism, not magical thinking or egocentrism.

When a hospitalized child expresses animistic beliefs, respond with developmentally appropriate reassurance. Acknowledge the child's feeling without reinforcing the object's "emotions" (e.g., "The pump is beeping to let us know it is working. You are safe.").

Caution

Do not dismiss or ridicule the child's animistic statements. These beliefs are normal cognitive development, not regression or pathology. Use them as opportunities to provide comfort and reduce fear of medical equipment.

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