eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concepts for Nursing Practice
Question Stem: Which statement best reflects the concept of
development as defined in the text?
A. Development is an increase in size and weight occurring only
during childhood.
B. Development describes progressive, age-related changes in
,structure and function across the lifespan.
C. Development refers solely to learning new skills acquired
after formal education.
D. Development is a reversible change in physiologic status
caused by illness.
Correct Answer: B
Concise Concept-Based Rationale: Development is
conceptualized as progressive, age-related changes in structure
and function that occur across the lifespan (not limited to
growth or to childhood), distinguishing it from temporary
physiologic changes or solely learned skills.
Text Citation: Concepts for Nursing Practice; Jean Foret Giddens.
Metadata Tags:
Concept: Development
Exemplar: Chapter 1 — Development (general)
Cognitive Level: Remember / Understand (Bloom 1–2)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Definition and scope of development
2.
Question Stem: A nurse explains to a new parent that an
infant's motor skills usually follow a cephalocaudal pattern.
Which description best describes that pattern?
A. Motor control progresses from the central axis outward to
the extremities.
,B. Motor control progresses from the lower body to the upper
body.
C. Motor control develops from head to toe (upper to lower).
D. Motor control appears abruptly at a single point in time.
Correct Answer: C
Concise Concept-Based Rationale: The cephalocaudal principle
describes development proceeding from head (cephalo) to tail
(caudal), so control and coordination develop in an upper-to-
lower direction.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: Motor development (infant)
Cognitive Level: Understand (Bloom 2)
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Patterns of developmental
progression
3.
Question Stem: During an admission assessment, a 2-year-old
demonstrates parallel play and says two-word phrases. A nurse
interprets these findings as evidence of which developmental
domains being met?
A. Psychosocial only
B. Cognitive and language only
, C. Social (play) and language/cognitive domains
D. Fine motor and physiologic domains
Correct Answer: C
Concise Concept-Based Rationale: Parallel play reflects
emerging social development while two-word phrases reflect
language/cognitive development; developmental assessment
integrates multiple domains.
Text Citation:
Metadata Tags:
Concept: Development
Exemplar: Early childhood developmental milestones
Cognitive Level: Apply (Bloom 3)
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Multidomain developmental
assessment
4.
Question Stem: A 10-year-old hospitalized child refuses to
participate in schoolwork and becomes withdrawn. Using
concept-based reasoning, which nurse response most
appropriately addresses developmental needs?
A. Insist on completing assigned schoolwork to avoid falling
behind.
B. Offer age-appropriate choices and opportunities for peer
interaction.