Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. A nurse is explaining the concept of development to a
group of new nursing students. Which statement best
reflects the concept as presented in Concepts for Nursing
Practice?
A. Development occurs in predictable stages but is not
influenced by environment.
B. Development is a lifelong, multidimensional process
influenced by genetic and environmental factors.
C. Development refers primarily to physical growth during
childhood.
D. Development progresses uniformly across all domains at
the same rate.
,Correct Answer: B
Rationale: Development is described as a lifelong, dynamic
process involving physical, cognitive, and psychosocial
dimensions, influenced by both heredity and environment.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Metadata Tags:
Concept: Development
Exemplar: Lifespan Overview
Cognitive Level: Level 2 (Understand)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Lifelong multidimensional process
2. A pediatric nurse assesses a toddler who insists on feeding
herself despite spilling food. Which developmental
attribute is most evident?
A. Trust
B. Initiative
C. Autonomy
D. Generativity
Correct Answer: C
Rationale: Toddlers strive for autonomy, seeking independence
in activities such as feeding. Supporting safe independence
promotes healthy development.
,Text Citation: Giddens, Development chapter—Toddler
developmental stage.
Metadata Tags:
Concept: Development
Exemplar: Toddler
Cognitive Level: Level 3 (Apply)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial autonomy
3. The nurse plans care for an adolescent newly diagnosed
with a chronic illness. Which developmental task should
guide nursing interventions?
A. Establishing intimacy
B. Achieving generativity
C. Developing identity
D. Maintaining integrity
Correct Answer: C
Rationale: Adolescents focus on identity formation. Chronic
illness may disrupt identity development; interventions should
support autonomy and self-concept.
Text Citation: Giddens, Development chapter—Adolescent
stage.
Metadata Tags:
Concept: Development
, Exemplar: Adolescent
Cognitive Level: Level 3 (Apply)
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Identity formation
4. An older adult reflects positively on life accomplishments
and expresses acceptance of life’s end. Which
developmental outcome is demonstrated?
A. Role confusion
B. Integrity
C. Initiative
D. Autonomy
Correct Answer: B
Rationale: Later adulthood involves resolving integrity versus
despair. Acceptance and life satisfaction reflect successful
development.
Text Citation: Giddens, Development chapter—Older
adulthood.
Metadata Tags:
Concept: Development
Exemplar: Older Adult
Cognitive Level: Level 3 (Apply)
Clinical Judgment Domain: Analyzing Cues
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. A nurse is explaining the concept of development to a
group of new nursing students. Which statement best
reflects the concept as presented in Concepts for Nursing
Practice?
A. Development occurs in predictable stages but is not
influenced by environment.
B. Development is a lifelong, multidimensional process
influenced by genetic and environmental factors.
C. Development refers primarily to physical growth during
childhood.
D. Development progresses uniformly across all domains at
the same rate.
,Correct Answer: B
Rationale: Development is described as a lifelong, dynamic
process involving physical, cognitive, and psychosocial
dimensions, influenced by both heredity and environment.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept chapter.
Metadata Tags:
Concept: Development
Exemplar: Lifespan Overview
Cognitive Level: Level 2 (Understand)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Lifelong multidimensional process
2. A pediatric nurse assesses a toddler who insists on feeding
herself despite spilling food. Which developmental
attribute is most evident?
A. Trust
B. Initiative
C. Autonomy
D. Generativity
Correct Answer: C
Rationale: Toddlers strive for autonomy, seeking independence
in activities such as feeding. Supporting safe independence
promotes healthy development.
,Text Citation: Giddens, Development chapter—Toddler
developmental stage.
Metadata Tags:
Concept: Development
Exemplar: Toddler
Cognitive Level: Level 3 (Apply)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial autonomy
3. The nurse plans care for an adolescent newly diagnosed
with a chronic illness. Which developmental task should
guide nursing interventions?
A. Establishing intimacy
B. Achieving generativity
C. Developing identity
D. Maintaining integrity
Correct Answer: C
Rationale: Adolescents focus on identity formation. Chronic
illness may disrupt identity development; interventions should
support autonomy and self-concept.
Text Citation: Giddens, Development chapter—Adolescent
stage.
Metadata Tags:
Concept: Development
, Exemplar: Adolescent
Cognitive Level: Level 3 (Apply)
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Identity formation
4. An older adult reflects positively on life accomplishments
and expresses acceptance of life’s end. Which
developmental outcome is demonstrated?
A. Role confusion
B. Integrity
C. Initiative
D. Autonomy
Correct Answer: B
Rationale: Later adulthood involves resolving integrity versus
despair. Acceptance and life satisfaction reflect successful
development.
Text Citation: Giddens, Development chapter—Older
adulthood.
Metadata Tags:
Concept: Development
Exemplar: Older Adult
Cognitive Level: Level 3 (Apply)
Clinical Judgment Domain: Analyzing Cues
