PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
• Reference: Ch. 1 — Development — Theories & Principles
• Stem: A nurse is planning a teaching session for the
parents of a 4-year-old child who is resistant to trying new
foods. The child's cognitive development is typical for their
age. Which nursing action best applies Piaget's theory to
encourage the child to try a new vegetable?
,• Options:
A. Explain the health benefits of the vegetable using
simple, concrete terms.
B. Allow the child to play with a toy food set that includes
the vegetable.
C. Have the parents model eating and enjoying the
vegetable themselves.
D. Tell the child they cannot have dessert until they eat one
bite of the vegetable.
• Correct Answer: B. Allow the child to play with a toy food
set that includes the vegetable.
• Rationale:
o Correct: During the preoperational stage (ages 2-7),
children learn through symbolic play and
manipulation of objects. Allowing tactile and pretend
play with the food item is developmentally
appropriate and may decrease anxiety associated
with the new food.
o A: While using simple language is good, abstract
concepts like "health benefits" are not well
understood at this stage. Reasoning is not the most
effective approach.
o C: Modeling is a strategy based on Social Learning
Theory (Bandura), not a primary application of
Piaget's Cognitive Theory.
, o D: This is a behavioral strategy that does not address
the child's cognitive developmental stage and may
create a negative association with food.
• Teaching Point: For preoperational thinkers, use play to
familiarize and reduce fear of new things.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
• Reference: Ch. 1 — Development — Erikson's Psychosocial
Stages
• Stem: A nurse is caring for an 80-year-old patient who is
reflecting on their life. The patient states, "I devoted my
life to my family and my teaching career. I have so many
wonderful memories, and I feel very content." The nurse
identifies that this patient has successfully mastered which
of Erikson's psychosocial stages?
• Options:
A. Generativity vs. Stagnation
B. Integrity vs. Despair
C. Intimacy vs. Isolation
D. Ego Integrity vs. Disgust
• Correct Answer: B. Integrity vs. Despair
• Rationale:
, o Correct: In late adulthood (65+), the crisis is Integrity
vs. Despair. Success is characterized by a sense of
fulfillment, wisdom, and acceptance of one's life as it
was lived, which the patient's statement exemplifies.
o A: Generativity vs. Stagnation is the crisis of middle
adulthood (40-65), focused on contributing to future
generations through work, parenting, or community.
o C: Intimacy vs. Isolation is the crisis of young
adulthood (20-40), focused on forming committed,
loving relationships.
o D: "Ego Integrity vs. Disgust" is not a stage in Erikson's
theory. The correct term is Integrity vs. Despair.
• Teaching Point: Successful resolution of Integrity vs.
Despair results in wisdom and acceptance of one's life.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
• Reference: Ch. 1 — Development — Growth Patterns
• Stem: The parents of a healthy 2-year-old express concern
to the nurse because their child's appetite has decreased
significantly compared to when they were an infant. Which
nursing response is most appropriate?
• Options:
A. "This is a red flag. We should schedule tests to check for