Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. A nurse explains that development differs from growth when
teaching parents of a toddler. Which statement best reflects the
concept of development?
A. Development refers to measurable increases in physical size.
B. Development involves predictable changes in structure and
function across the lifespan.
C. Development occurs only during childhood.
D. Development progresses at the same rate for all individuals.
Correct Answer: B
,Rationale: Development is a lifelong process involving
predictable changes in structure and function. It differs from
growth, which refers primarily to quantitative physical changes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Chapter 1, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Lifespan Development
Cognitive Level: Level 2 (Understanding)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Lifespan progression
2. A school nurse assesses an 8-year-old who struggles with
reading despite normal vision and hearing. Which
developmental domain should the nurse further evaluate?
A. Psychosocial
B. Cognitive
C. Moral
D. Spiritual
Correct Answer: B
Rationale: Cognitive development involves intellectual
functioning, reasoning, and learning abilities. Difficulty with
reading suggests concern in the cognitive domain.
,Text Citation: Giddens, Chapter 1, Development domains.
Metadata Tags:
Concept: Development
Exemplar: School-Age Child
Cognitive Level: Level 3 (Application)
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive development
3. During a well-child visit, a parent reports that a 2-year-old is
not yet walking independently. What is the nurse’s priority
action?
A. Reassure the parent that all children develop at identical
rates
B. Document as normal without follow-up
C. Compare the finding to expected developmental milestones
D. Recommend immediate orthopedic referral
Correct Answer: C
Rationale: Nurses compare observed behaviors with expected
developmental milestones to identify possible delays. Variation
exists, but deviation from norms requires assessment.
Text Citation: Giddens, Chapter 1, Developmental milestones
and assessment.
, Metadata Tags:
Concept: Development
Exemplar: Toddler
Cognitive Level: Level 4 (Analysis)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Milestone comparison
4. An adolescent questions family beliefs and begins forming
independent values. Which attribute of development is most
evident?
A. Physical maturation
B. Psychosocial identity formation
C. Fine motor coordination
D. Sensory integration
Correct Answer: B
Rationale: Adolescence involves psychosocial development
characterized by identity formation and exploration of values.
Text Citation: Giddens, Chapter 1, Development across lifespan.
Metadata Tags:
Concept: Development
Exemplar: Adolescent
Cognitive Level: Level 3 (Application)
Clinical Judgment Domain: Analyzing Cues
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. A nurse explains that development differs from growth when
teaching parents of a toddler. Which statement best reflects the
concept of development?
A. Development refers to measurable increases in physical size.
B. Development involves predictable changes in structure and
function across the lifespan.
C. Development occurs only during childhood.
D. Development progresses at the same rate for all individuals.
Correct Answer: B
,Rationale: Development is a lifelong process involving
predictable changes in structure and function. It differs from
growth, which refers primarily to quantitative physical changes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Chapter 1, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Lifespan Development
Cognitive Level: Level 2 (Understanding)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Lifespan progression
2. A school nurse assesses an 8-year-old who struggles with
reading despite normal vision and hearing. Which
developmental domain should the nurse further evaluate?
A. Psychosocial
B. Cognitive
C. Moral
D. Spiritual
Correct Answer: B
Rationale: Cognitive development involves intellectual
functioning, reasoning, and learning abilities. Difficulty with
reading suggests concern in the cognitive domain.
,Text Citation: Giddens, Chapter 1, Development domains.
Metadata Tags:
Concept: Development
Exemplar: School-Age Child
Cognitive Level: Level 3 (Application)
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive development
3. During a well-child visit, a parent reports that a 2-year-old is
not yet walking independently. What is the nurse’s priority
action?
A. Reassure the parent that all children develop at identical
rates
B. Document as normal without follow-up
C. Compare the finding to expected developmental milestones
D. Recommend immediate orthopedic referral
Correct Answer: C
Rationale: Nurses compare observed behaviors with expected
developmental milestones to identify possible delays. Variation
exists, but deviation from norms requires assessment.
Text Citation: Giddens, Chapter 1, Developmental milestones
and assessment.
, Metadata Tags:
Concept: Development
Exemplar: Toddler
Cognitive Level: Level 4 (Analysis)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Milestone comparison
4. An adolescent questions family beliefs and begins forming
independent values. Which attribute of development is most
evident?
A. Physical maturation
B. Psychosocial identity formation
C. Fine motor coordination
D. Sensory integration
Correct Answer: B
Rationale: Adolescence involves psychosocial development
characterized by identity formation and exploration of values.
Text Citation: Giddens, Chapter 1, Development across lifespan.
Metadata Tags:
Concept: Development
Exemplar: Adolescent
Cognitive Level: Level 3 (Application)
Clinical Judgment Domain: Analyzing Cues
