Test Bank Concepts for Nursing Practice
(4th Edition) By Jean Foret Giddens
INTRODUCTION
This comprehensive test bank has been developed to accompany Concepts for
Nursing Practice, 4th Edition, by Jean Foret Giddens. It is designed to align with all
learning objectives and cover every major topic presented in the text. The test
bank is organized according to the textbook's three major units and their
respective themes, following the conceptual approach that forms the foundation
of modern nursing education.
This resource contains a wide variety of question types, including multiple-choice
questions, scenario-based items, and questions that require clinical judgment and
critical thinking. Each question is accompanied by a correct answer, three
plausible distractors, and a detailed rationale that explains why the correct answer
is right and why the distractors are incorrect. The questions are balanced across
difficulty levels—from foundational knowledge recall to complex application and
analysis—to prepare students for academic examinations, NCLEX-RN success, and
professional nursing practice.
The test bank reflects the 60 concepts presented in the 4th edition, including six
new concepts: Clotting; Well-Being and Resilience; Person-Centered Care;
Diversity, Equity, and Inclusion; Public Health Emergencies; and Spheres of
Practice. Questions address concepts spanning patient physiology, patient
behavior, and the professional nursing environment.
UNIT 1: HEALTH CARE RECIPIENT CONCEPTS
Theme: Attributes and Resources
Chapter 1: Development
,1. A nurse is assessing a 3-year-old child who has been hospitalized for
dehydration. The child repeatedly refuses the caregiver's instructions and says
"no" to all requests during care. Which developmental stage, according to
Erikson, is this child demonstrating?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: According to Erikson's theory of psychosocial development, the toddler
stage (ages 1-3 years) is characterized by the conflict of Autonomy vs. Shame and
Doubt. Children at this stage are developing independence and often express their
emerging autonomy by saying "no" and resisting caregiver directives. The
hospitalized child's behavior of refusing instructions is a normal developmental
expression of autonomy. Trust vs. Mistrust (A) is the infant stage (birth to 1 year).
Initiative vs. Guilt (C) occurs in the preschool stage (ages 3-6 years). Industry vs.
Inferiority (D) occurs in the school-age stage (ages 6-12 years).
2. A nurse is assessing a 4-month-old infant during a well-child visit. The infant's
parent expresses concern that the baby does not seem to recognize familiar
faces yet. What is the nurse's best response?
A. "This is concerning and may indicate a developmental delay."
B. "Infants typically do not recognize faces until about 6 months of age."
C. "At 4 months, infants are beginning to recognize familiar faces and voices."
D. "Face recognition usually does not develop until the first birthday."
Correct Answer: C
Rationale: By approximately 4 months of age, infants typically begin to recognize
familiar faces and voices. They may smile in response to familiar people and show
preference for primary caregivers. This is a normal developmental milestone.
,Option A is incorrect because the parent's observation is not concerning at this
age. Option B is incorrect because recognition begins earlier than 6 months.
Option D is incorrect because face recognition develops well before the first
birthday.
3. A nurse is providing teaching to a group of parents about developmental
milestones for school-age children. According to Piaget's theory of cognitive
development, which characteristic best describes the thinking of a 10-year-old
child?
A. Egocentric thinking
B. Ability to think abstractly
C. Concrete operational thinking
D. Hypothetical reasoning
Correct Answer: C
Rationale: According to Piaget's theory, children aged 7 to 11 years are in the
concrete operational stage. During this stage, children begin to think logically
about concrete events but have difficulty understanding abstract or hypothetical
concepts. Egocentric thinking (A) is characteristic of the preoperational stage (ages
2-7 years). Abstract thinking (B) and hypothetical reasoning (D) are characteristic
of the formal operational stage, which typically begins around age 11 or 12 and
continues into adulthood.
4. A nurse is evaluating the developmental status of a 2-year-old child during a
health supervision visit. Which finding would the nurse recognize as a delay
requiring further assessment?
A. The child uses two- to three-word phrases.
B. The child walks independently.
C. The child is unable to stack two blocks.
D. The child points to named body parts.
, Correct Answer: C
Rationale: By age 2 years, a child should be able to stack at least four to six blocks.
The inability to stack two blocks at this age may indicate a fine motor delay
requiring further assessment. Using two- to three-word phrases (A) is expected at
2 years. Walking independently (B) is expected by 15 months and is not a delay at
2 years. Pointing to named body parts (D) is expected by 2 years of age.
5. An adolescent client tells the nurse, "My friends all want me to go to the
party, but my parents said no. I don't know what to do." The nurse recognizes
that this client is experiencing which developmental challenge according to
Erikson?
A. Identity vs. Role Confusion
B. Intimacy vs. Isolation
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Correct Answer: A
Rationale: According to Erikson's theory, adolescence (ages 12-18 years) is
characterized by the conflict of Identity vs. Role Confusion. During this stage,
adolescents struggle to develop a sense of self and personal identity while
navigating peer influences and parental expectations. The client's conflict between
peer desires and parental rules reflects this developmental challenge. Intimacy vs.
Isolation (B) is the young adult stage. Autonomy vs. Shame and Doubt (C) is the
toddler stage. Industry vs. Inferiority (D) is the school-age stage.
6. A nurse is assessing a 9-month-old infant in a pediatric clinic. Which
developmental milestone should the nurse expect the infant to have achieved?
A. Walking independently
B. Pincer grasp
(4th Edition) By Jean Foret Giddens
INTRODUCTION
This comprehensive test bank has been developed to accompany Concepts for
Nursing Practice, 4th Edition, by Jean Foret Giddens. It is designed to align with all
learning objectives and cover every major topic presented in the text. The test
bank is organized according to the textbook's three major units and their
respective themes, following the conceptual approach that forms the foundation
of modern nursing education.
This resource contains a wide variety of question types, including multiple-choice
questions, scenario-based items, and questions that require clinical judgment and
critical thinking. Each question is accompanied by a correct answer, three
plausible distractors, and a detailed rationale that explains why the correct answer
is right and why the distractors are incorrect. The questions are balanced across
difficulty levels—from foundational knowledge recall to complex application and
analysis—to prepare students for academic examinations, NCLEX-RN success, and
professional nursing practice.
The test bank reflects the 60 concepts presented in the 4th edition, including six
new concepts: Clotting; Well-Being and Resilience; Person-Centered Care;
Diversity, Equity, and Inclusion; Public Health Emergencies; and Spheres of
Practice. Questions address concepts spanning patient physiology, patient
behavior, and the professional nursing environment.
UNIT 1: HEALTH CARE RECIPIENT CONCEPTS
Theme: Attributes and Resources
Chapter 1: Development
,1. A nurse is assessing a 3-year-old child who has been hospitalized for
dehydration. The child repeatedly refuses the caregiver's instructions and says
"no" to all requests during care. Which developmental stage, according to
Erikson, is this child demonstrating?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: According to Erikson's theory of psychosocial development, the toddler
stage (ages 1-3 years) is characterized by the conflict of Autonomy vs. Shame and
Doubt. Children at this stage are developing independence and often express their
emerging autonomy by saying "no" and resisting caregiver directives. The
hospitalized child's behavior of refusing instructions is a normal developmental
expression of autonomy. Trust vs. Mistrust (A) is the infant stage (birth to 1 year).
Initiative vs. Guilt (C) occurs in the preschool stage (ages 3-6 years). Industry vs.
Inferiority (D) occurs in the school-age stage (ages 6-12 years).
2. A nurse is assessing a 4-month-old infant during a well-child visit. The infant's
parent expresses concern that the baby does not seem to recognize familiar
faces yet. What is the nurse's best response?
A. "This is concerning and may indicate a developmental delay."
B. "Infants typically do not recognize faces until about 6 months of age."
C. "At 4 months, infants are beginning to recognize familiar faces and voices."
D. "Face recognition usually does not develop until the first birthday."
Correct Answer: C
Rationale: By approximately 4 months of age, infants typically begin to recognize
familiar faces and voices. They may smile in response to familiar people and show
preference for primary caregivers. This is a normal developmental milestone.
,Option A is incorrect because the parent's observation is not concerning at this
age. Option B is incorrect because recognition begins earlier than 6 months.
Option D is incorrect because face recognition develops well before the first
birthday.
3. A nurse is providing teaching to a group of parents about developmental
milestones for school-age children. According to Piaget's theory of cognitive
development, which characteristic best describes the thinking of a 10-year-old
child?
A. Egocentric thinking
B. Ability to think abstractly
C. Concrete operational thinking
D. Hypothetical reasoning
Correct Answer: C
Rationale: According to Piaget's theory, children aged 7 to 11 years are in the
concrete operational stage. During this stage, children begin to think logically
about concrete events but have difficulty understanding abstract or hypothetical
concepts. Egocentric thinking (A) is characteristic of the preoperational stage (ages
2-7 years). Abstract thinking (B) and hypothetical reasoning (D) are characteristic
of the formal operational stage, which typically begins around age 11 or 12 and
continues into adulthood.
4. A nurse is evaluating the developmental status of a 2-year-old child during a
health supervision visit. Which finding would the nurse recognize as a delay
requiring further assessment?
A. The child uses two- to three-word phrases.
B. The child walks independently.
C. The child is unable to stack two blocks.
D. The child points to named body parts.
, Correct Answer: C
Rationale: By age 2 years, a child should be able to stack at least four to six blocks.
The inability to stack two blocks at this age may indicate a fine motor delay
requiring further assessment. Using two- to three-word phrases (A) is expected at
2 years. Walking independently (B) is expected by 15 months and is not a delay at
2 years. Pointing to named body parts (D) is expected by 2 years of age.
5. An adolescent client tells the nurse, "My friends all want me to go to the
party, but my parents said no. I don't know what to do." The nurse recognizes
that this client is experiencing which developmental challenge according to
Erikson?
A. Identity vs. Role Confusion
B. Intimacy vs. Isolation
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Correct Answer: A
Rationale: According to Erikson's theory, adolescence (ages 12-18 years) is
characterized by the conflict of Identity vs. Role Confusion. During this stage,
adolescents struggle to develop a sense of self and personal identity while
navigating peer influences and parental expectations. The client's conflict between
peer desires and parental rules reflects this developmental challenge. Intimacy vs.
Isolation (B) is the young adult stage. Autonomy vs. Shame and Doubt (C) is the
toddler stage. Industry vs. Inferiority (D) is the school-age stage.
6. A nurse is assessing a 9-month-old infant in a pediatric clinic. Which
developmental milestone should the nurse expect the infant to have achieved?
A. Walking independently
B. Pincer grasp
