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 observation best reflects the child’s
developmental attribute according to the concept of
development?
A. Ability to explain consequences of actions
B. Preference for parallel play with peers
, C. Demonstrates abstract reasoning skills
D. Expresses concern about future career choices
Correct Answer: B
Rationale: Preschool-aged children commonly engage in parallel
play, which reflects normal developmental progression in social
and cognitive domains. Abstract reasoning and long-term future
planning typically occur in later developmental stages.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Concept: Development
Exemplar: Preschool Child Development
Cognitive Level: Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Developmental progression across
lifespan
2. A nurse is caring for an adolescent who questions parental
beliefs and expresses a strong need for peer approval.
Which developmental attribute is most evident?
A. Initiative
B. Identity formation
C. Trust development
D. Generativity
Correct Answer: B
,Rationale: Adolescents focus on identity formation and
establishing independence while seeking peer validation. This
reflects expected psychosocial developmental attributes during
adolescence.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Concept: Development
Exemplar: Adolescent Development
Cognitive Level: Comprehension
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Psychosocial developmental stage
characteristics
3. A nurse evaluates a hospitalized toddler who refuses to
allow the parent to leave the bedside and cries intensely
during separation. Which interpretation is most
appropriate?
A. Regression is occurring
B. Separation anxiety is developmentally expected
C. The child demonstrates impaired attachment
D. The child shows delayed emotional development
Correct Answer: B
, Rationale: Separation anxiety is developmentally normal for
toddlers and reflects healthy attachment and emotional
development during early childhood.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Concept: Development
Exemplar: Toddler Emotional Development
Cognitive Level: Analysis
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Age-related emotional development
4. The nurse plans teaching for a school-age child newly
diagnosed with diabetes. Which strategy best supports
developmental readiness?
A. Provide written material only to parents
B. Use concrete examples and allow hands-on participation
C. Present information using complex physiological
explanations
D. Encourage independent online learning
Correct Answer: B
Rationale: School-age children learn best through concrete
thinking and active participation. Hands-on activities support
cognitive developmental readiness.
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 observation best reflects the child’s
developmental attribute according to the concept of
development?
A. Ability to explain consequences of actions
B. Preference for parallel play with peers
, C. Demonstrates abstract reasoning skills
D. Expresses concern about future career choices
Correct Answer: B
Rationale: Preschool-aged children commonly engage in parallel
play, which reflects normal developmental progression in social
and cognitive domains. Abstract reasoning and long-term future
planning typically occur in later developmental stages.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Concept: Development
Exemplar: Preschool Child Development
Cognitive Level: Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Developmental progression across
lifespan
2. A nurse is caring for an adolescent who questions parental
beliefs and expresses a strong need for peer approval.
Which developmental attribute is most evident?
A. Initiative
B. Identity formation
C. Trust development
D. Generativity
Correct Answer: B
,Rationale: Adolescents focus on identity formation and
establishing independence while seeking peer validation. This
reflects expected psychosocial developmental attributes during
adolescence.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Concept: Development
Exemplar: Adolescent Development
Cognitive Level: Comprehension
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Psychosocial developmental stage
characteristics
3. A nurse evaluates a hospitalized toddler who refuses to
allow the parent to leave the bedside and cries intensely
during separation. Which interpretation is most
appropriate?
A. Regression is occurring
B. Separation anxiety is developmentally expected
C. The child demonstrates impaired attachment
D. The child shows delayed emotional development
Correct Answer: B
, Rationale: Separation anxiety is developmentally normal for
toddlers and reflects healthy attachment and emotional
development during early childhood.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Concept: Development
Exemplar: Toddler Emotional Development
Cognitive Level: Analysis
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Age-related emotional development
4. The nurse plans teaching for a school-age child newly
diagnosed with diabetes. Which strategy best supports
developmental readiness?
A. Provide written material only to parents
B. Use concrete examples and allow hands-on participation
C. Present information using complex physiological
explanations
D. Encourage independent online learning
Correct Answer: B
Rationale: School-age children learn best through concrete
thinking and active participation. Hands-on activities support
cognitive developmental readiness.
