A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

The correct answer is D because speaking in 2-3 word sentences is not developmentally appropriate for a 4-year-old. At this age, children should be capable of more complex language skills, such as forming complete sentences. This finding may indicate a delay in language development, which requires further investigation. Choices A, B, and C are all within the normal range of behavior for a 4-year-old. Urinary and bowel continence is expected at this age, difficulty tying shoes is common as fine motor skills are still developing, and imaginary friends are a normal part of imaginative play. Therefore, these findings do not raise immediate concerns for further investigation.