CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is conducting a well-child visit for a 6-month-old
infant. The parent reports the infant rolls from back to front but
does not sit without support and has not begun to babble
consonant sounds like "ba-ba" or "da-da." Which
developmental assessment finding requires the most
immediate follow-up by the nurse?
,Options:
A. Inability to sit without support at 6 months.
B. Absence of babbling consonant sounds at 6 months.
C. Ability to roll from back to front at 6 months.
D. Parent's expressed concern about the infant's social smile.
Correct Answer: B
Rationales:
• Correct (B): The absence of canonical babbling (repetitive
consonant-vowel sounds) by 6-7 months is a potential
early red flag for language delay or hearing impairment,
requiring prompt assessment and intervention to support
critical language development windows.
• Incorrect (A): Sitting without support is typically achieved
between 6-8 months. Being unable at exactly 6 months is
within the normal variation and warrants monitoring, not
immediate intervention.
• Incorrect (C): Rolling from back to front is a expected 5-6
month milestone. This finding indicates appropriate gross
motor development.
• Incorrect (D): A social smile is expected by 2 months.
Parental concern is important to explore, but the objective
finding of absent babbling takes priority for immediate
follow-up.
,Teaching Point: Prioritize missing verbal milestones (babbling)
over delayed motor milestones in infancy, as they may indicate
sensory or neurological concerns.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Health Promotion &
Patient Education
Stem: A nurse is planning health teaching for the parents of a 4-
year-old child. Based on Erikson's theory of psychosocial
development, which activity would best support the child's
developmental task for this age?
Options:
A. Providing consistent routines and choices between two
acceptable outfits.
B. Encouraging competitive games with clear winners and
losers.
C. Arranging for long periods of cooperative, imaginative play
with peers.
D. Teaching the child to complete complex puzzles
independently.
Correct Answer: A
Rationales:
• Correct (A): According to Erikson, the preschooler's task is
Initiative vs. Guilt. Providing simple choices within safe
, limits supports their growing autonomy and sense of
purpose while preventing overwhelming guilt from failure.
• Incorrect (B): Competitive games are more aligned with
school-age industry. For a preschooler, they may foster
excessive guilt or shame if they lose.
• Incorrect (C): While imaginative play is important, "long
periods" of cooperative play may not be developmentally
realistic. The key for Erikson at this stage is supporting
initiative, not primarily cooperation.
• Incorrect (D): Completing tasks independently relates
more to the toddler stage (Autonomy) or school-age
(Industry). Overemphasis on independent complex tasks
may lead to frustration and guilt.
Teaching Point: For preschoolers (Initiative vs. Guilt), nursing
interventions should encourage safe exploration and offer
simple choices to foster initiative.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Prioritization of Care
Stem: A nurse is caring for four pediatric patients on a medical
unit. Based on developmental vulnerability, which patient
requires the nurse's priority assessment?
Options:
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is conducting a well-child visit for a 6-month-old
infant. The parent reports the infant rolls from back to front but
does not sit without support and has not begun to babble
consonant sounds like "ba-ba" or "da-da." Which
developmental assessment finding requires the most
immediate follow-up by the nurse?
,Options:
A. Inability to sit without support at 6 months.
B. Absence of babbling consonant sounds at 6 months.
C. Ability to roll from back to front at 6 months.
D. Parent's expressed concern about the infant's social smile.
Correct Answer: B
Rationales:
• Correct (B): The absence of canonical babbling (repetitive
consonant-vowel sounds) by 6-7 months is a potential
early red flag for language delay or hearing impairment,
requiring prompt assessment and intervention to support
critical language development windows.
• Incorrect (A): Sitting without support is typically achieved
between 6-8 months. Being unable at exactly 6 months is
within the normal variation and warrants monitoring, not
immediate intervention.
• Incorrect (C): Rolling from back to front is a expected 5-6
month milestone. This finding indicates appropriate gross
motor development.
• Incorrect (D): A social smile is expected by 2 months.
Parental concern is important to explore, but the objective
finding of absent babbling takes priority for immediate
follow-up.
,Teaching Point: Prioritize missing verbal milestones (babbling)
over delayed motor milestones in infancy, as they may indicate
sensory or neurological concerns.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Health Promotion &
Patient Education
Stem: A nurse is planning health teaching for the parents of a 4-
year-old child. Based on Erikson's theory of psychosocial
development, which activity would best support the child's
developmental task for this age?
Options:
A. Providing consistent routines and choices between two
acceptable outfits.
B. Encouraging competitive games with clear winners and
losers.
C. Arranging for long periods of cooperative, imaginative play
with peers.
D. Teaching the child to complete complex puzzles
independently.
Correct Answer: A
Rationales:
• Correct (A): According to Erikson, the preschooler's task is
Initiative vs. Guilt. Providing simple choices within safe
, limits supports their growing autonomy and sense of
purpose while preventing overwhelming guilt from failure.
• Incorrect (B): Competitive games are more aligned with
school-age industry. For a preschooler, they may foster
excessive guilt or shame if they lose.
• Incorrect (C): While imaginative play is important, "long
periods" of cooperative play may not be developmentally
realistic. The key for Erikson at this stage is supporting
initiative, not primarily cooperation.
• Incorrect (D): Completing tasks independently relates
more to the toddler stage (Autonomy) or school-age
(Industry). Overemphasis on independent complex tasks
may lead to frustration and guilt.
Teaching Point: For preschoolers (Initiative vs. Guilt), nursing
interventions should encourage safe exploration and offer
simple choices to foster initiative.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Prioritization of Care
Stem: A nurse is caring for four pediatric patients on a medical
unit. Based on developmental vulnerability, which patient
requires the nurse's priority assessment?
Options:
