CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Concept 1 — Development — Theoretical Links &
Clinical Application
Stem: A nurse is providing anticipatory guidance to the parents
of a 4-year-old child during a well-child visit. The child is
cooperative during the exam, speaks in 4-5 word sentences, and
is able to hop on one foot. The parents express concern that the
child often has an imaginary friend and sometimes blames the
,friend for spilled milk. Which nursing response is most
appropriate?
Options:
A. "This is a sign of potential social isolation; let's discuss
strategies to increase peer interaction."
B. "This is a normal part of cognitive and psychosocial
development at this age."
C. "This indicates magical thinking, which is a red flag for
developmental delay at age 4."
D. "You should gently but firmly correct this behavior to
promote accountability."
Correct Answer: B
Rationales:
• Correct (B): According to Piaget, magical thinking and
animism are hallmarks of the preoperational stage (ages 2-
7). Erikson's theory identifies the preschooler's stage as
Initiative vs. Guilt, where imagination flourishes. The
child's demonstrated motor and language skills are age-
appropriate. This response validates normal development
and alleviates parental anxiety.
• Incorrect (A): Having an imaginary friend is not typically a
sign of social isolation in a preschooler and is often a
normal way to practice social roles and cope with fears.
, • Incorrect (C): Magical thinking is an expected cognitive
characteristic for a 4-year-old, not a developmental delay.
The described behaviors align with expected norms.
• Incorrect (D): Correcting this imaginative play fails to
understand developmental norms and could stifle the
child's creativity and problem-solving development during
this stage.
Teaching Point: Imaginary friends and magical thinking are
normal in preschoolers, reflecting cognitive development
(Piaget's preoperational stage).
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Concept 1.
Question 2
Reference: Concept 1 — Development — Assessment Across
the Lifespan
Stem: A nurse in a long-term care facility is assessing a 78-year-
old resident. The resident states, "I've been reflecting on my
life. I had a good career, raised a wonderful family, and tried to
contribute to my community. I feel content." According to
Erikson's theory, which developmental stage has this resident
most successfully navigated?
Options:
A. Generativity vs. Stagnation
, B. Integrity vs. Despair
C. Intimacy vs. Isolation
D. Ego Integrity vs. Despair
Correct Answer: B
Rationales:
• Correct (B): Erikson's final stage (65+ years) is Integrity vs.
Despair. The resident's statement reflects a sense of
wholeness, acceptance of one's life as it was lived, and
wisdom—key indicators of achieving ego integrity.
• Incorrect (A): Generativity vs. Stagnation (middle
adulthood) focuses on contributing to future generations
through work, parenting, and community. The resident is
reflecting on the outcome of that generativity, not the
active process.
• Incorrect (C): Intimacy vs. Isolation (young adulthood)
centers on forming committed, loving relationships. This is
not the primary theme of the resident's reflection.
• Incorrect (D): While descriptively similar, "Ego Integrity vs.
Despair" is the precise term for Erikson's eighth stage. The
correct option (B) uses the standard, accepted name for
this stage in nursing and developmental psychology.
Teaching Point: Successful navigation of Erikson's final stage,
Integrity vs. Despair, is characterized by life reflection,
acceptance, and a sense of fulfillment.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Concept 1 — Development — Theoretical Links &
Clinical Application
Stem: A nurse is providing anticipatory guidance to the parents
of a 4-year-old child during a well-child visit. The child is
cooperative during the exam, speaks in 4-5 word sentences, and
is able to hop on one foot. The parents express concern that the
child often has an imaginary friend and sometimes blames the
,friend for spilled milk. Which nursing response is most
appropriate?
Options:
A. "This is a sign of potential social isolation; let's discuss
strategies to increase peer interaction."
B. "This is a normal part of cognitive and psychosocial
development at this age."
C. "This indicates magical thinking, which is a red flag for
developmental delay at age 4."
D. "You should gently but firmly correct this behavior to
promote accountability."
Correct Answer: B
Rationales:
• Correct (B): According to Piaget, magical thinking and
animism are hallmarks of the preoperational stage (ages 2-
7). Erikson's theory identifies the preschooler's stage as
Initiative vs. Guilt, where imagination flourishes. The
child's demonstrated motor and language skills are age-
appropriate. This response validates normal development
and alleviates parental anxiety.
• Incorrect (A): Having an imaginary friend is not typically a
sign of social isolation in a preschooler and is often a
normal way to practice social roles and cope with fears.
, • Incorrect (C): Magical thinking is an expected cognitive
characteristic for a 4-year-old, not a developmental delay.
The described behaviors align with expected norms.
• Incorrect (D): Correcting this imaginative play fails to
understand developmental norms and could stifle the
child's creativity and problem-solving development during
this stage.
Teaching Point: Imaginary friends and magical thinking are
normal in preschoolers, reflecting cognitive development
(Piaget's preoperational stage).
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Concept 1.
Question 2
Reference: Concept 1 — Development — Assessment Across
the Lifespan
Stem: A nurse in a long-term care facility is assessing a 78-year-
old resident. The resident states, "I've been reflecting on my
life. I had a good career, raised a wonderful family, and tried to
contribute to my community. I feel content." According to
Erikson's theory, which developmental stage has this resident
most successfully navigated?
Options:
A. Generativity vs. Stagnation
, B. Integrity vs. Despair
C. Intimacy vs. Isolation
D. Ego Integrity vs. Despair
Correct Answer: B
Rationales:
• Correct (B): Erikson's final stage (65+ years) is Integrity vs.
Despair. The resident's statement reflects a sense of
wholeness, acceptance of one's life as it was lived, and
wisdom—key indicators of achieving ego integrity.
• Incorrect (A): Generativity vs. Stagnation (middle
adulthood) focuses on contributing to future generations
through work, parenting, and community. The resident is
reflecting on the outcome of that generativity, not the
active process.
• Incorrect (C): Intimacy vs. Isolation (young adulthood)
centers on forming committed, loving relationships. This is
not the primary theme of the resident's reflection.
• Incorrect (D): While descriptively similar, "Ego Integrity vs.
Despair" is the precise term for Erikson's eighth stage. The
correct option (B) uses the standard, accepted name for
this stage in nursing and developmental psychology.
Teaching Point: Successful navigation of Erikson's final stage,
Integrity vs. Despair, is characterized by life reflection,
acceptance, and a sense of fulfillment.
