CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference:
Ch. 1 — Development — Health Promotion & Safety
NCLEX-Level Question Stem:
A nurse is providing anticipatory guidance to the parents of a
24-month-old toddler during a well-child visit. The parents
express concern that their child is constantly exploring cabinets
and climbing on furniture. Which recommendation by the nurse
is most appropriate based on the child's developmental stage?
,Options:
A. "Consistently use time-outs in a designated chair for any
climbing behavior."
B. "Install safety gates at stairways and use locks on cabinets
containing hazardous items."
C. "Provide detailed explanations about the long-term
consequences of getting injured."
D. "Restrict the child's play to a playpen to ensure a completely
safe environment."
Correct Answer:
B
Rationales:
• Correct Answer Rationale: During the toddler stage (ages
1-3), children are in Piaget's sensorimotor to
preoperational stage, characterized by intense exploration
and motor development. A primary task is autonomy vs.
shame and doubt (Erikson). The nurse's role is to promote
safety while supporting healthy exploration. Securing the
environment (gates, locks) allows for safe exploration and
aligns with injury prevention, the leading health concern
for this age group.
• Incorrect Answer Rationale for A: Time-outs are less
effective for toddlers who do not yet fully connect actions
with prolonged consequences. This approach may foster
shame and doubt rather than teaching safety.
, • Incorrect Answer Rationale for C: Toddlers have a concrete
and present-oriented understanding. Detailed explanations
about future consequences are developmentally
inappropriate and ineffective for learning safety rules.
• Incorrect Answer Rationale for D: While safe, this option is
overly restrictive. Confinement to a playpen inhibits the
motor and cognitive development gained through
supervised exploration, which is crucial for this age.
Teaching Point:
For toddlers, childproof the environment to support safe
exploration, which is essential for achieving autonomy.
Citation:
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1: Development.
Question 2
Reference:
Ch. 1 — Development — Clinical Judgment & Family Dynamics
NCLEX-Level Question Stem:
A nurse is caring for a 16-year-old admitted with newly
diagnosed Type 1 Diabetes Mellitus. The adolescent is resistant
to parental instructions and states, "My parents need to stop
hovering. I can handle this myself." Which nursing action best
supports the adolescent's developmental needs?
Options:
A. Advocate for the parents to room-in to closely supervise all
, diabetic care and dietary choices.
B. Schedule separate education sessions with the adolescent to
foster independent self-management skills.
C. Explain to the adolescent that their parents have the ultimate
legal authority over their treatment plan.
D. Defer all diabetes education until the adolescent
demonstrates a more cooperative attitude.
Correct Answer:
B
Rationales:
• Correct Answer Rationale: The central developmental task
of adolescence (Erikson's identity vs. role confusion) is
establishing independence and a personal identity. For
chronic illness management, the goal is a gradual
transition from parent-directed to self-directed care.
Providing private education sessions validates the
adolescent's need for autonomy, builds competence, and is
a key nursing strategy to improve adherence.
• Incorrect Answer Rationale for A: This action undermines
the adolescent's striving for autonomy, increases conflict,
and can lead to rebellion and non-adherence. It does not
support developmental progression.
• Incorrect Answer Rationale for C: While legally true, this
response is confrontational and dismissive of the
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference:
Ch. 1 — Development — Health Promotion & Safety
NCLEX-Level Question Stem:
A nurse is providing anticipatory guidance to the parents of a
24-month-old toddler during a well-child visit. The parents
express concern that their child is constantly exploring cabinets
and climbing on furniture. Which recommendation by the nurse
is most appropriate based on the child's developmental stage?
,Options:
A. "Consistently use time-outs in a designated chair for any
climbing behavior."
B. "Install safety gates at stairways and use locks on cabinets
containing hazardous items."
C. "Provide detailed explanations about the long-term
consequences of getting injured."
D. "Restrict the child's play to a playpen to ensure a completely
safe environment."
Correct Answer:
B
Rationales:
• Correct Answer Rationale: During the toddler stage (ages
1-3), children are in Piaget's sensorimotor to
preoperational stage, characterized by intense exploration
and motor development. A primary task is autonomy vs.
shame and doubt (Erikson). The nurse's role is to promote
safety while supporting healthy exploration. Securing the
environment (gates, locks) allows for safe exploration and
aligns with injury prevention, the leading health concern
for this age group.
• Incorrect Answer Rationale for A: Time-outs are less
effective for toddlers who do not yet fully connect actions
with prolonged consequences. This approach may foster
shame and doubt rather than teaching safety.
, • Incorrect Answer Rationale for C: Toddlers have a concrete
and present-oriented understanding. Detailed explanations
about future consequences are developmentally
inappropriate and ineffective for learning safety rules.
• Incorrect Answer Rationale for D: While safe, this option is
overly restrictive. Confinement to a playpen inhibits the
motor and cognitive development gained through
supervised exploration, which is crucial for this age.
Teaching Point:
For toddlers, childproof the environment to support safe
exploration, which is essential for achieving autonomy.
Citation:
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1: Development.
Question 2
Reference:
Ch. 1 — Development — Clinical Judgment & Family Dynamics
NCLEX-Level Question Stem:
A nurse is caring for a 16-year-old admitted with newly
diagnosed Type 1 Diabetes Mellitus. The adolescent is resistant
to parental instructions and states, "My parents need to stop
hovering. I can handle this myself." Which nursing action best
supports the adolescent's developmental needs?
Options:
A. Advocate for the parents to room-in to closely supervise all
, diabetic care and dietary choices.
B. Schedule separate education sessions with the adolescent to
foster independent self-management skills.
C. Explain to the adolescent that their parents have the ultimate
legal authority over their treatment plan.
D. Defer all diabetes education until the adolescent
demonstrates a more cooperative attitude.
Correct Answer:
B
Rationales:
• Correct Answer Rationale: The central developmental task
of adolescence (Erikson's identity vs. role confusion) is
establishing independence and a personal identity. For
chronic illness management, the goal is a gradual
transition from parent-directed to self-directed care.
Providing private education sessions validates the
adolescent's need for autonomy, builds competence, and is
a key nursing strategy to improve adherence.
• Incorrect Answer Rationale for A: This action undermines
the adolescent's striving for autonomy, increases conflict,
and can lead to rebellion and non-adherence. It does not
support developmental progression.
• Incorrect Answer Rationale for C: While legally true, this
response is confrontational and dismissive of the
