Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. Question Stem
Which statement best reflects the concept of
development as presented in Concepts for Nursing
Practice?
A. Development is a series of discrete, unrelated
behavioral changes that occur only in childhood.
B. Development is the progressive, orderly change in
structure and function across the lifespan that increases
complexity and adaptive capacity.
, C. Development refers solely to physical growth measured
by weight and height.
D. Development is a fixed genetic program unaffected by
environment or experience.
Correct Answer: B
Concise Concept-Based Rationale: Development is defined
conceptually as progressive, orderly change across the lifespan
that increases complexity and adaptive capacity; it is broader
than growth and is influenced by environment and experience.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: General (lifespan)
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Concept definition / lifespan scope
2. Question Stem
Which attribute most accurately describes common
patterns by which human development occurs?
A. Random changes that begin at the periphery and move
centrally.
B. Orderly patterns often progressing head-to-toe and from
center outward, with predictable sequences though timing
, varies.
C. Simultaneous emergence of all skills at the same
chronological age for all individuals.
D. Immediate replacement of old behaviors by completely
new behaviors with no integration.
Correct Answer: B
Concise Concept-Based Rationale: Development commonly
follows orderly patterns (e.g., cephalocaudal and proximodistal
directions), with predictable sequences though timing can vary
among individuals.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: Infant/toddler patterning
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Patterning / orderliness of
developmental change
3. Question Stem
A nurse documents that a 2-year-old has stopped using
previously acquired single words and no longer responds
to caregiver cues. Which interpretation is most consistent
with the concept of development?
, A. This pattern represents normal variability and requires
no follow-up.
B. Regression or loss of previously acquired skills is a cue
signaling potential developmental disruption requiring
further assessment.
C. The child is simply demonstrating independence;
encourage less verbal interaction.
D. Always attribute such changes to temperamental
differences rather than development.
Correct Answer: B
Concise Concept-Based Rationale: Loss of previously mastered
skills (regression) is a clinically relevant cue that may indicate
developmental disruption and warrants assessment and
investigation.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: Toddler with regression
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Signs of atypical development /
regression
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. Question Stem
Which statement best reflects the concept of
development as presented in Concepts for Nursing
Practice?
A. Development is a series of discrete, unrelated
behavioral changes that occur only in childhood.
B. Development is the progressive, orderly change in
structure and function across the lifespan that increases
complexity and adaptive capacity.
, C. Development refers solely to physical growth measured
by weight and height.
D. Development is a fixed genetic program unaffected by
environment or experience.
Correct Answer: B
Concise Concept-Based Rationale: Development is defined
conceptually as progressive, orderly change across the lifespan
that increases complexity and adaptive capacity; it is broader
than growth and is influenced by environment and experience.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: General (lifespan)
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Concept definition / lifespan scope
2. Question Stem
Which attribute most accurately describes common
patterns by which human development occurs?
A. Random changes that begin at the periphery and move
centrally.
B. Orderly patterns often progressing head-to-toe and from
center outward, with predictable sequences though timing
, varies.
C. Simultaneous emergence of all skills at the same
chronological age for all individuals.
D. Immediate replacement of old behaviors by completely
new behaviors with no integration.
Correct Answer: B
Concise Concept-Based Rationale: Development commonly
follows orderly patterns (e.g., cephalocaudal and proximodistal
directions), with predictable sequences though timing can vary
among individuals.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: Infant/toddler patterning
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Patterning / orderliness of
developmental change
3. Question Stem
A nurse documents that a 2-year-old has stopped using
previously acquired single words and no longer responds
to caregiver cues. Which interpretation is most consistent
with the concept of development?
, A. This pattern represents normal variability and requires
no follow-up.
B. Regression or loss of previously acquired skills is a cue
signaling potential developmental disruption requiring
further assessment.
C. The child is simply demonstrating independence;
encourage less verbal interaction.
D. Always attribute such changes to temperamental
differences rather than development.
Correct Answer: B
Concise Concept-Based Rationale: Loss of previously mastered
skills (regression) is a clinically relevant cue that may indicate
developmental disruption and warrants assessment and
investigation.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: Toddler with regression
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Signs of atypical development /
regression
