Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concepts for Nursing Practice
1. A 6-month-old infant is brought to the clinic for a well-child
visit. The nurse documents that the infant can sit
unsupported and shows reciprocal babbling. Which
interpretation of these findings best aligns with the
concept of development as presented in the text?
A. The findings indicate advanced social development for
age.
B. The findings reflect expected attainment of age-
, appropriate developmental milestones.
C. The findings represent evidence of developmental arrest
requiring immediate referral.
D. The findings show only genetic determinants of
development and are not influenced by environment.
Correct Answer: B
Rationale: Development is tracked using age-appropriate
milestones across domains (physical/motor, communication),
and sitting unsupported and babbling at 6 months represent
expected milestone attainment. These findings guide
anticipatory guidance and monitoring rather than immediate
referral.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.
Elsevier; 2024.
Metadata Tags:
Concept: Development
Exemplar: Well-child developmental milestones
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Developmental milestones (motor and
communication)
2. A nurse is assessing a toddler and notes weight and length
measurements below the 5th percentile, poor weight gain
, over 3 months, and frequent respiratory infections. Which
action best applies the concept of development and
exemplars related to physical growth?
A. Schedule routine immunizations and provide typical
anticipatory guidance.
B. Refer for further evaluation for failure to thrive and
coordinate early intervention services.
C. Reassure the parents that developmental variation is
normal and return at the next annual visit.
D. Document findings and advise to increase caloric intake
without further follow-up.
Correct Answer: B
Rationale: Persistent growth faltering with associated health
issues suggests an exemplar such as failure to thrive; nursing
application includes recognizing abnormal cues and
coordinating referral for evaluation and early intervention.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.
Elsevier; 2024.
Metadata Tags:
Concept: Development
Exemplar: Failure to thrive (physical development exemplar)
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Prioritizing hypotheses / Generating
solutions
Difficulty Estimate: Moderate
, Primary Attribute Tested: Physical growth assessment and
referral
3. The concept describes development as occurring along a
continuum with categories (physical, motoric,
social/emotional, cognitive, communication, adaptive). A
nursing student is asked which statement best reflects that
interrelated nature. Which statement should the student
choose?
A. Motor development always precedes cognitive
development.
B. Domains of development progress independently of
each other.
C. Delay in one domain may influence functioning in other
domains.
D. Communication skills are unrelated to social
development.
Correct Answer: C
Rationale: Developmental domains are interrelated; delays in
one domain often affect others, which informs holistic
assessment and planning.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.
Elsevier; 2024.
Metadata Tags:
Concept: Development
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concepts for Nursing Practice
1. A 6-month-old infant is brought to the clinic for a well-child
visit. The nurse documents that the infant can sit
unsupported and shows reciprocal babbling. Which
interpretation of these findings best aligns with the
concept of development as presented in the text?
A. The findings indicate advanced social development for
age.
B. The findings reflect expected attainment of age-
, appropriate developmental milestones.
C. The findings represent evidence of developmental arrest
requiring immediate referral.
D. The findings show only genetic determinants of
development and are not influenced by environment.
Correct Answer: B
Rationale: Development is tracked using age-appropriate
milestones across domains (physical/motor, communication),
and sitting unsupported and babbling at 6 months represent
expected milestone attainment. These findings guide
anticipatory guidance and monitoring rather than immediate
referral.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.
Elsevier; 2024.
Metadata Tags:
Concept: Development
Exemplar: Well-child developmental milestones
Cognitive Level: 2 (Understand)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Developmental milestones (motor and
communication)
2. A nurse is assessing a toddler and notes weight and length
measurements below the 5th percentile, poor weight gain
, over 3 months, and frequent respiratory infections. Which
action best applies the concept of development and
exemplars related to physical growth?
A. Schedule routine immunizations and provide typical
anticipatory guidance.
B. Refer for further evaluation for failure to thrive and
coordinate early intervention services.
C. Reassure the parents that developmental variation is
normal and return at the next annual visit.
D. Document findings and advise to increase caloric intake
without further follow-up.
Correct Answer: B
Rationale: Persistent growth faltering with associated health
issues suggests an exemplar such as failure to thrive; nursing
application includes recognizing abnormal cues and
coordinating referral for evaluation and early intervention.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.
Elsevier; 2024.
Metadata Tags:
Concept: Development
Exemplar: Failure to thrive (physical development exemplar)
Cognitive Level: 3 (Apply)
Clinical Judgment Domain: Prioritizing hypotheses / Generating
solutions
Difficulty Estimate: Moderate
, Primary Attribute Tested: Physical growth assessment and
referral
3. The concept describes development as occurring along a
continuum with categories (physical, motoric,
social/emotional, cognitive, communication, adaptive). A
nursing student is asked which statement best reflects that
interrelated nature. Which statement should the student
choose?
A. Motor development always precedes cognitive
development.
B. Domains of development progress independently of
each other.
C. Delay in one domain may influence functioning in other
domains.
D. Communication skills are unrelated to social
development.
Correct Answer: C
Rationale: Developmental domains are interrelated; delays in
one domain often affect others, which informs holistic
assessment and planning.
Text Citation: Giddens JF. Concepts for Nursing Practice, 4th ed.
Elsevier; 2024.
Metadata Tags:
Concept: Development
