A Preschool-Aged Child Tells the Nurse "I Was Bad,that's Why

A preschool-aged child tells the nurse "I was bad,that's why I got sick." What is the best rationale for this child's statement?

A) The child has a fear that mutilation will lead to death.
B) The child's imagination is very active, and he may believe the illness is a result of something he did.
C) The child has a general understanding of body integrity at this age.
D) The child will not have fear related to an IV catheter initiation but will have fear of an impending surgery.