Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
SECTION I: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Concept: Development
1. A nurse is assessing a 4-year-old child during a well-child
visit. Which finding best reflects the concept of
Development as defined in the text?
A. The child weighs 16 kg and is in the 50th percentile for
height.
B. The child engages in imaginative play and asks “why”
, questions frequently.
C. The child has received all scheduled immunizations.
D. The child eats independently using utensils.
Correct Answer: B
Rationale: Development refers to progressive changes in
cognitive, psychosocial, and physical functioning across the
lifespan. Imaginative play and curiosity reflect cognitive and
psychosocial developmental progression, not merely growth or
health maintenance behaviors.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Concept: Development
Exemplar: Preschool Child
Cognitive Level: Level 2 – Comprehension
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Psychosocial and cognitive
progression
2. A nurse notes that an adolescent frequently questions
family rules and expresses a desire for independence. How
should the nurse interpret this behavior?
A. As evidence of ineffective parenting
B. As a delay in psychosocial development
C. As a normal developmental progression toward identity
, formation
D. As regression related to peer pressure
Correct Answer: C
Rationale: Adolescence is characterized by identity formation
and increasing autonomy. Questioning authority and striving for
independence reflect expected psychosocial developmental
changes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Concept: Development
Exemplar: Adolescent
Cognitive Level: Level 3 – Application
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Identity development
3. A hospitalized 8-year-old becomes withdrawn and refuses
to interact after missing several days of school. Which
developmental principle best explains this response?
A. Separation anxiety is limited to infancy
B. School-age children value peer relationships and
industry
C. Cognitive decline occurs during acute illness
D. Regression is the primary coping strategy at this age
Correct Answer: B
, Rationale: School-age children focus on competence and peer
relationships. Disruption of school and peer interaction can
affect psychosocial development related to industry and social
integration.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Concept: Development
Exemplar: School-Age Child
Cognitive Level: Level 3 – Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Social role development
4. Which assessment finding in an older adult best reflects
developmental adaptation rather than pathology?
A. Gradual slowing of information processing
B. Acute confusion after surgery
C. Sudden inability to perform self-care
D. Rapid weight loss over one month
Correct Answer: A
Rationale: Normal aging includes gradual cognitive processing
changes. Acute confusion or rapid decline suggests pathology
rather than expected developmental progression.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
SECTION I: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Concept: Development
1. A nurse is assessing a 4-year-old child during a well-child
visit. Which finding best reflects the concept of
Development as defined in the text?
A. The child weighs 16 kg and is in the 50th percentile for
height.
B. The child engages in imaginative play and asks “why”
, questions frequently.
C. The child has received all scheduled immunizations.
D. The child eats independently using utensils.
Correct Answer: B
Rationale: Development refers to progressive changes in
cognitive, psychosocial, and physical functioning across the
lifespan. Imaginative play and curiosity reflect cognitive and
psychosocial developmental progression, not merely growth or
health maintenance behaviors.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Concept: Development
Exemplar: Preschool Child
Cognitive Level: Level 2 – Comprehension
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Psychosocial and cognitive
progression
2. A nurse notes that an adolescent frequently questions
family rules and expresses a desire for independence. How
should the nurse interpret this behavior?
A. As evidence of ineffective parenting
B. As a delay in psychosocial development
C. As a normal developmental progression toward identity
, formation
D. As regression related to peer pressure
Correct Answer: C
Rationale: Adolescence is characterized by identity formation
and increasing autonomy. Questioning authority and striving for
independence reflect expected psychosocial developmental
changes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Concept: Development
Exemplar: Adolescent
Cognitive Level: Level 3 – Application
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Identity development
3. A hospitalized 8-year-old becomes withdrawn and refuses
to interact after missing several days of school. Which
developmental principle best explains this response?
A. Separation anxiety is limited to infancy
B. School-age children value peer relationships and
industry
C. Cognitive decline occurs during acute illness
D. Regression is the primary coping strategy at this age
Correct Answer: B
, Rationale: School-age children focus on competence and peer
relationships. Disruption of school and peer interaction can
affect psychosocial development related to industry and social
integration.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Concept: Development
Exemplar: School-Age Child
Cognitive Level: Level 3 – Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Social role development
4. Which assessment finding in an older adult best reflects
developmental adaptation rather than pathology?
A. Gradual slowing of information processing
B. Acute confusion after surgery
C. Sudden inability to perform self-care
D. Rapid weight loss over one month
Correct Answer: A
Rationale: Normal aging includes gradual cognitive processing
changes. Acute confusion or rapid decline suggests pathology
rather than expected developmental progression.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
