Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1.
Question Stem: A nurse explains to a newly hired colleague that
the concept of development is most accurately described as:
A. A fixed sequence of physically measurable milestones that
predict future health.
B. The pattern of change in physical, cognitive, and psychosocial
functioning across the lifespan.
C. A set of culturally determined behaviors that remain constant
after adolescence.
,D. The exclusive emergence of motor skills during infancy and
childhood.
Correct Answer: B
Concise Concept-Based Rationale: Development is defined as
the pattern of change across multiple domains (physical,
cognitive, psychosocial) throughout the lifespan; it is not limited
to physical milestones, fixed after adolescence, or exclusively
motor skills.
Text Citation: Concepts for Nursing Practice, Chapter 1:
Development.
Metadata Tags:
Concept: Development
Exemplar: Concept-level (Chapter 1 — general)
Cognitive Level: 1 (Remember)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Definition / Scope of development
2.
Question Stem: Which attribute of the concept development
most directly supports the nurse's use of age-appropriate
communication and teaching?
A. Predictability of genetic expression.
B. Presence of developmental milestones as markers of
functioning.
,C. Permanence of early childhood behaviors.
D. Biological determinism of learning.
Correct Answer: B
Concise Concept-Based Rationale: Developmental milestones
provide markers of expected functioning and guide age-
appropriate communication and teaching; genetic expression,
permanence, and biological determinism do not directly guide
bedside teaching.
Text Citation: Giddens, Concepts for Nursing Practice, Ch. 1:
Development.
Metadata Tags:
Concept: Development
Exemplar: Concept-level (milestones)
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Developmental milestones / Nursing
implication
3.
Question Stem: A 6-month-old infant born at 32 weeks’
gestation is brought to well-child care. When documenting
motor milestone attainment, the nurse should:
A. Compare the infant’s age to chronological age only.
B. Use corrected (adjusted) age to judge expected milestones.
, C. Delay any developmental assessment until the child is 2 years
old.
D. Assume prematurity permanently delays all milestones.
Correct Answer: B
Concise Concept-Based Rationale: For preterm infants,
corrected (adjusted) age is used to assess expected
developmental milestones; chronological-only comparison or
assumptions of permanent delay are inappropriate.
Text Citation: Giddens, Concepts for Nursing Practice, Ch. 1:
Development — assessment considerations.
Metadata Tags:
Concept: Development
Exemplar: Infant development / prematurity
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Assessment — corrected age
4.
Question Stem: A nurse is planning discharge teaching for
parents of a toddler learning self-feeding. Applying Vygotsky’s
zone of proximal development (as linked in the concept), the
most effective nursing strategy is to:
A. Expect complete independence and provide minimal
assistance.
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1.
Question Stem: A nurse explains to a newly hired colleague that
the concept of development is most accurately described as:
A. A fixed sequence of physically measurable milestones that
predict future health.
B. The pattern of change in physical, cognitive, and psychosocial
functioning across the lifespan.
C. A set of culturally determined behaviors that remain constant
after adolescence.
,D. The exclusive emergence of motor skills during infancy and
childhood.
Correct Answer: B
Concise Concept-Based Rationale: Development is defined as
the pattern of change across multiple domains (physical,
cognitive, psychosocial) throughout the lifespan; it is not limited
to physical milestones, fixed after adolescence, or exclusively
motor skills.
Text Citation: Concepts for Nursing Practice, Chapter 1:
Development.
Metadata Tags:
Concept: Development
Exemplar: Concept-level (Chapter 1 — general)
Cognitive Level: 1 (Remember)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Definition / Scope of development
2.
Question Stem: Which attribute of the concept development
most directly supports the nurse's use of age-appropriate
communication and teaching?
A. Predictability of genetic expression.
B. Presence of developmental milestones as markers of
functioning.
,C. Permanence of early childhood behaviors.
D. Biological determinism of learning.
Correct Answer: B
Concise Concept-Based Rationale: Developmental milestones
provide markers of expected functioning and guide age-
appropriate communication and teaching; genetic expression,
permanence, and biological determinism do not directly guide
bedside teaching.
Text Citation: Giddens, Concepts for Nursing Practice, Ch. 1:
Development.
Metadata Tags:
Concept: Development
Exemplar: Concept-level (milestones)
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Developmental milestones / Nursing
implication
3.
Question Stem: A 6-month-old infant born at 32 weeks’
gestation is brought to well-child care. When documenting
motor milestone attainment, the nurse should:
A. Compare the infant’s age to chronological age only.
B. Use corrected (adjusted) age to judge expected milestones.
, C. Delay any developmental assessment until the child is 2 years
old.
D. Assume prematurity permanently delays all milestones.
Correct Answer: B
Concise Concept-Based Rationale: For preterm infants,
corrected (adjusted) age is used to assess expected
developmental milestones; chronological-only comparison or
assumptions of permanent delay are inappropriate.
Text Citation: Giddens, Concepts for Nursing Practice, Ch. 1:
Development — assessment considerations.
Metadata Tags:
Concept: Development
Exemplar: Infant development / prematurity
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Assessment — corrected age
4.
Question Stem: A nurse is planning discharge teaching for
parents of a toddler learning self-feeding. Applying Vygotsky’s
zone of proximal development (as linked in the concept), the
most effective nursing strategy is to:
A. Expect complete independence and provide minimal
assistance.
