eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. A clinic nurse defines "development" for a new student
nurse as the term that best describes which of the
following?
A. A pattern of qualitative and quantitative change across
the lifespan.
B. Short-term physiological changes that occur during
illness.
C. Only the physical growth that occurs from infancy to
adolescence.
D. The process of learning hospital routines and
professional roles.
,Correct Answer: A
Concise Concept-Based Rationale: Development is a broad
concept encompassing both qualitative (e.g., cognitive or
psychosocial) and quantitative (e.g., size, weight) changes
across the lifespan, not limited to physical growth or transient
physiologic change.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.,
Concept 01: Development.
Metadata Tags:
Concept: Development
Exemplar: Lifespan development (general)
Cognitive Level: 1 (Remember)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Concept definition (qualitative vs
quantitative change)
2. Which statement best distinguishes a developmental
milestone from a developmental task?
A. Milestones are observable behaviors; tasks are culturally
defined expectations.
B. Milestones occur only in childhood; tasks occur only in
adulthood.
C. Milestones are nursing interventions; tasks are family
roles.
, D. Milestones are measures of functional decline; tasks
indicate disease progression.
Correct Answer: A
Concise Concept-Based Rationale: Milestones are observable,
measurable behaviors/skills (e.g., walking); developmental tasks
are culturally and contextually expected responsibilities or
achievements at particular stages.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.,
Concept 01: Development.
Metadata Tags:
Concept: Development
Exemplar: Lifespan development (general)
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Attributes (milestones vs tasks)
3. A 2-month-old infant is brought to clinic; parent reports
poor head control and limited social smile. Which action
should the nurse take first?
A. Schedule a referral for developmental evaluation.
B. Reassure the parent that development varies and
arrange routine follow-up.
C. Instruct the parent in tummy time and observe feeding
, and parent–infant interaction.
D. Begin anticipatory guidance for toilet training.
Correct Answer: C
Concise Concept-Based Rationale: For early cues of delayed
motor and social behaviors, the nurse first assesses modifiable
environmental and care factors (e.g., positioning/tummy time,
feeding, parent–infant interaction) before referral.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.,
Concept 01: Development.
Metadata Tags:
Concept: Development
Exemplar: Early infancy (milestone surveillance)
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Recognizing cues → Generating
solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Developmental assessment and first-
line nursing interventions
4. Which description represents a quantitative
developmental change?
A. Increased use of two-word phrases by a toddler.
B. Formation of abstract reasoning in adolescence.
C. A 6-month-old’s weight doubling since birth.