CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
• Reference: Ch. 1 — Development — Milestone Assessment
• Stem: A nurse in a pediatric clinic is assessing a 9-month-
old infant during a well-child visit. The parent reports the
infant sits without support, reaches for toys using a raking
grasp, and has a fear of strangers. The infant says "mama"
and "dada" nonspecifically. Based on typical
developmental milestones, which finding should the nurse
identify as needing further evaluation?
,• Options:
A. Sitting without support.
B. Using a raking grasp.
C. Exhibiting stranger anxiety.
D. Babbling "mama" and "dada."
• Correct Answer: B
• Rationales:
o Correct: By 9 months, an infant should use a pincer
grasp (thumb and finger) to pick up small objects. A
persistent raking grasp (using fingers to scoop objects)
at this age may indicate a fine motor delay and
warrants further developmental screening.
o Incorrect A: Sitting without support is a typical gross
motor milestone achieved between 6-8 months.
o Incorrect C: Stranger anxiety is a normal psychosocial-
emotional milestone that begins around 6-8 months,
indicating secure attachment.
o Incorrect D: Babbling repetitive consonants like
"mama" and "dada" (without meaning) is expected
language development at 9 months.
• Teaching Point: A pincer grasp, not a raking grasp, is
expected by 9 months. Delayed fine motor skills require
follow-up.
, • Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
• Reference: Ch. 1 — Development — Adolescent
Psychosocial Development
• Stem: A 15-year-old patient is admitted for management
of newly diagnosed Type 1 Diabetes Mellitus. The nurse
observes the patient refusing to perform blood glucose
checks in front of visiting friends and becoming angry
when the dietitian discusses long-term dietary changes.
Which developmental concept is the patient's behavior
best demonstrating?
• Options:
A. Developing a sense of industry versus inferiority.
B. Struggling with initiative versus guilt.
C. Experiencing role confusion while seeking identity.
D. Facing stagnation versus generativity.
• Correct Answer: C
• Rationales:
o Correct: According to Erikson, adolescence (12-18
years) is characterized by the crisis of identity vs. role
confusion. The teen's anger and refusal to engage in
care in front of peers stem from a preoccupation with
peer acceptance and a struggle to integrate a chronic
illness into their developing self-identity.
, o Incorrect A: Industry vs. inferiority is the school-age
child's developmental focus (6-12 years).
o Incorrect B: Initiative vs. guilt is the developmental
task of the preschooler (3-6 years).
o Incorrect D: Stagnation vs. generativity is the central
conflict of middle adulthood (40-65 years).
• Teaching Point: Adolescent behaviors often center on
identity formation and peer influence, impacting
adherence to health regimens.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
• Reference: Ch. 1 — Development — Geriatric Cognition &
Safety
• Stem: An 82-year-old patient with mild, age-related short-
term memory loss is being discharged home alone after a
hospitalization for a urinary tract infection. Which action
by the nurse best supports the patient's safety and
functional ability?
• Options:
A. Recommend the patient move to an assisted living
facility.
B. Contact adult protective services for a home safety
evaluation.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
• Reference: Ch. 1 — Development — Milestone Assessment
• Stem: A nurse in a pediatric clinic is assessing a 9-month-
old infant during a well-child visit. The parent reports the
infant sits without support, reaches for toys using a raking
grasp, and has a fear of strangers. The infant says "mama"
and "dada" nonspecifically. Based on typical
developmental milestones, which finding should the nurse
identify as needing further evaluation?
,• Options:
A. Sitting without support.
B. Using a raking grasp.
C. Exhibiting stranger anxiety.
D. Babbling "mama" and "dada."
• Correct Answer: B
• Rationales:
o Correct: By 9 months, an infant should use a pincer
grasp (thumb and finger) to pick up small objects. A
persistent raking grasp (using fingers to scoop objects)
at this age may indicate a fine motor delay and
warrants further developmental screening.
o Incorrect A: Sitting without support is a typical gross
motor milestone achieved between 6-8 months.
o Incorrect C: Stranger anxiety is a normal psychosocial-
emotional milestone that begins around 6-8 months,
indicating secure attachment.
o Incorrect D: Babbling repetitive consonants like
"mama" and "dada" (without meaning) is expected
language development at 9 months.
• Teaching Point: A pincer grasp, not a raking grasp, is
expected by 9 months. Delayed fine motor skills require
follow-up.
, • Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
• Reference: Ch. 1 — Development — Adolescent
Psychosocial Development
• Stem: A 15-year-old patient is admitted for management
of newly diagnosed Type 1 Diabetes Mellitus. The nurse
observes the patient refusing to perform blood glucose
checks in front of visiting friends and becoming angry
when the dietitian discusses long-term dietary changes.
Which developmental concept is the patient's behavior
best demonstrating?
• Options:
A. Developing a sense of industry versus inferiority.
B. Struggling with initiative versus guilt.
C. Experiencing role confusion while seeking identity.
D. Facing stagnation versus generativity.
• Correct Answer: C
• Rationales:
o Correct: According to Erikson, adolescence (12-18
years) is characterized by the crisis of identity vs. role
confusion. The teen's anger and refusal to engage in
care in front of peers stem from a preoccupation with
peer acceptance and a struggle to integrate a chronic
illness into their developing self-identity.
, o Incorrect A: Industry vs. inferiority is the school-age
child's developmental focus (6-12 years).
o Incorrect B: Initiative vs. guilt is the developmental
task of the preschooler (3-6 years).
o Incorrect D: Stagnation vs. generativity is the central
conflict of middle adulthood (40-65 years).
• Teaching Point: Adolescent behaviors often center on
identity formation and peer influence, impacting
adherence to health regimens.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
• Reference: Ch. 1 — Development — Geriatric Cognition &
Safety
• Stem: An 82-year-old patient with mild, age-related short-
term memory loss is being discharged home alone after a
hospitalization for a urinary tract infection. Which action
by the nurse best supports the patient's safety and
functional ability?
• Options:
A. Recommend the patient move to an assisted living
facility.
B. Contact adult protective services for a home safety
evaluation.
