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 explains that development differs from growth. Which
statement best reflects the concept of development?
,A. Development refers to quantitative increases in body size.
B. Development is the progressive acquisition of skills and
abilities.
C. Development occurs only during childhood.
D. Development is determined primarily by genetic inheritance.
Correct Answer: B
Rationale: Development refers to qualitative changes in
functioning, including acquisition of skills, abilities, and
behaviors over time. Growth refers to quantitative physical
changes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Metadata Tags:
Concept: Development
Exemplar: Lifespan Development
Cognitive Level: Level 2 – Comprehension
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Definition and attributes of
development
2.
A preschool child insists on choosing clothing independently.
The nurse interprets this behavior as most consistent with
which developmental attribute?
,A. Egocentrism
B. Increasing autonomy
C. Concrete operational thinking
D. Role confusion
Correct Answer: B
Rationale: Increasing autonomy is a key attribute in early
childhood development, reflecting growing independence and
self-direction.
Text Citation: Giddens, Development Concept, Early Childhood
attributes.
Metadata Tags:
Concept: Development
Exemplar: Early Childhood
Cognitive Level: Level 3 – Application
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Developmental tasks
3.
A nurse assessing an older adult notes slowed reaction time but
stable problem-solving ability. Which principle of development
does this reflect?
A. Development is uniform across all domains
B. Development involves both gains and losses
, C. Development stops in adulthood
D. Cognitive decline precedes physical decline
Correct Answer: B
Rationale: Lifespan development includes multidirectional
changes, meaning individuals experience both gains and losses
across domains.
Text Citation: Giddens, Development Concept, Lifespan
perspective.
Metadata Tags:
Concept: Development
Exemplar: Older Adulthood
Cognitive Level: Level 4 – Analysis
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Multidirectionality
4.
Which assessment finding requires the nurse to prioritize
further evaluation of developmental delay in a 9-month-old
infant?
A. Sits without support
B. Transfers objects between hands
C. Does not respond to name
D. Babbles consonant sounds