CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
20 NCLEX-RN–Style MCQs: Concept of Development
Question 1
Reference:
Ch. 1 — Development — Nursing Assessment & Health
Promotion
Stem:
A nurse is planning a well-child visit for a 4-year-old. The parent
,reports the child has started to use complex sentences, engage
in cooperative play with other children, and often asks “why”
questions. According to Erikson’s stages of psychosocial
development, which developmental task should the nurse
prioritize during health teaching?
Options:
A. Promoting autonomy by offering choices within limits
B. Encouraging initiative through guided play and exploration
C. Supporting industry by providing praise for accomplishments
D. Building trust through consistent and responsive caregiving
Correct Answer: B
Rationales:
Correct (B): According to Erikson, the preschool period (3-6
years) is the stage of Initiative vs. Guilt. The child’s described
behaviors (complex language, cooperative play, curiosity) are
hallmarks of this stage. Nursing health teaching should focus on
encouraging safe exploration, imaginative play, and answering
questions to foster a sense of purpose and initiative.
Incorrect (A): Autonomy vs. Shame/Doubt is the task for
toddlers (1-3 years). Offering choices is more appropriate for
that age group.
Incorrect (C): Industry vs. Inferiority is the school-age child’s
task (6-12 years), focused on mastering skills and receiving
recognition.
Incorrect (D): Trust vs. Mistrust is the infant’s (0-1 year) primary
task, centered on consistent, responsive care.
,Teaching Point: In Erikson’s model, preschool initiative is
fostered by encouraging safe exploration and answering “why”
questions.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference:
Ch. 1 — Development — Health Screening & Anticipatory
Guidance
Stem:
During a routine visit, the parents of a 9-month-old express
concern that their infant is not yet crawling. The nurse notes
the infant can sit without support, transfer objects between
hands, and has a pincer grasp. Which nursing response is most
appropriate?
Options:
A. “This is a significant delay. We need to refer you to a
pediatric neurologist immediately.”
B. “Crawling is not a mandatory milestone. Let’s discuss your
child’s other achievements and expected progression.”
C. “You should provide more tummy time for at least two hours
daily to force development.”
D. “All infants must crawl by 9 months. We will start physical
therapy next week.”
, Correct Answer: B
Rationales:
Correct (B): Development occurs in a typical sequence but with
variable timing. This infant demonstrates appropriate fine
motor (pincer grasp) and gross motor (sitting) skills for age.
Crawling is not a required milestone; some infants bottom-
shuffle or go straight to pulling up. The nurse should provide
anticipatory guidance and alleviate parental anxiety by focusing
on the infant’s strengths.
Incorrect (A): This response causes undue alarm. Isolated lack
of crawling, with other milestones met, is not a sign of
significant neurological delay.
Incorrect (C): While tummy time is important, recommending a
rigid duration (“two hours daily”) is unrealistic and may increase
parental stress. Guidance should be gentle and individualized.
Incorrect (D): This is factually incorrect and dismissive. It states
an absolute (“must crawl”) and jumps to an unnecessary
intervention.
Teaching Point: Milestone variation is normal. Nursing
assessment should evaluate the whole developmental picture,
not single skills.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
20 NCLEX-RN–Style MCQs: Concept of Development
Question 1
Reference:
Ch. 1 — Development — Nursing Assessment & Health
Promotion
Stem:
A nurse is planning a well-child visit for a 4-year-old. The parent
,reports the child has started to use complex sentences, engage
in cooperative play with other children, and often asks “why”
questions. According to Erikson’s stages of psychosocial
development, which developmental task should the nurse
prioritize during health teaching?
Options:
A. Promoting autonomy by offering choices within limits
B. Encouraging initiative through guided play and exploration
C. Supporting industry by providing praise for accomplishments
D. Building trust through consistent and responsive caregiving
Correct Answer: B
Rationales:
Correct (B): According to Erikson, the preschool period (3-6
years) is the stage of Initiative vs. Guilt. The child’s described
behaviors (complex language, cooperative play, curiosity) are
hallmarks of this stage. Nursing health teaching should focus on
encouraging safe exploration, imaginative play, and answering
questions to foster a sense of purpose and initiative.
Incorrect (A): Autonomy vs. Shame/Doubt is the task for
toddlers (1-3 years). Offering choices is more appropriate for
that age group.
Incorrect (C): Industry vs. Inferiority is the school-age child’s
task (6-12 years), focused on mastering skills and receiving
recognition.
Incorrect (D): Trust vs. Mistrust is the infant’s (0-1 year) primary
task, centered on consistent, responsive care.
,Teaching Point: In Erikson’s model, preschool initiative is
fostered by encouraging safe exploration and answering “why”
questions.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference:
Ch. 1 — Development — Health Screening & Anticipatory
Guidance
Stem:
During a routine visit, the parents of a 9-month-old express
concern that their infant is not yet crawling. The nurse notes
the infant can sit without support, transfer objects between
hands, and has a pincer grasp. Which nursing response is most
appropriate?
Options:
A. “This is a significant delay. We need to refer you to a
pediatric neurologist immediately.”
B. “Crawling is not a mandatory milestone. Let’s discuss your
child’s other achievements and expected progression.”
C. “You should provide more tummy time for at least two hours
daily to force development.”
D. “All infants must crawl by 9 months. We will start physical
therapy next week.”
, Correct Answer: B
Rationales:
Correct (B): Development occurs in a typical sequence but with
variable timing. This infant demonstrates appropriate fine
motor (pincer grasp) and gross motor (sitting) skills for age.
Crawling is not a required milestone; some infants bottom-
shuffle or go straight to pulling up. The nurse should provide
anticipatory guidance and alleviate parental anxiety by focusing
on the infant’s strengths.
Incorrect (A): This response causes undue alarm. Isolated lack
of crawling, with other milestones met, is not a sign of
significant neurological delay.
Incorrect (C): While tummy time is important, recommending a
rigid duration (“two hours daily”) is unrealistic and may increase
parental stress. Guidance should be gentle and individualized.
Incorrect (D): This is factually incorrect and dismissive. It states
an absolute (“must crawl”) and jumps to an unnecessary
intervention.
Teaching Point: Milestone variation is normal. Nursing
assessment should evaluate the whole developmental picture,
not single skills.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
