CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
NCLEX-RN–Style Questions: Concept 1. Development
Question 1
• Reference: Ch. 1 — Development — Infancy & Trust vs.
Mistrust
• NCLEX-Level Stem: A nurse is assessing a 2-month-old
infant during a well-child visit. The mother reports the
baby is feeding well but "cries too much when put down."
The infant's weight and vital signs are within normal
, parameters. Based on the infant's developmental stage,
which nursing intervention is most appropriate?
• Options:
A. Advise the mother to let the infant cry for progressively
longer periods to encourage self-soothing.
B. Educate the mother that this is normal stranger anxiety
and will resolve on its own in a few months.
C. Teach the mother about the importance of consistent,
responsive caregiving when the infant signals a need.
D. Recommend scheduling feedings and sleep times more
strictly to establish a predictable routine.
• Correct Answer: C
• Rationales:
o Correct (C): At 2 months, an infant is in Erikson's stage
of Trust vs. Mistrust. Consistent, responsive care
when the infant cries builds trust that needs will be
met and is foundational for future development. This
directly addresses the mother's concern with an
evidence-based, supportive intervention.
o Incorrect (A): This advice promotes non-
responsiveness, which can foster mistrust and is not
developmentally appropriate for a young infant.
o Incorrect (B): Stranger anxiety is typical later, around
6-9 months. The crying described is more likely a
signal for basic needs or comfort.
, o Incorrect (D): While routines are helpful, strict
scheduling can ignore the infant's cues for hunger or
comfort, which is counterproductive to building trust.
• Teaching Point: In infancy, consistent, responsive care
builds psychosocial trust—the foundation for future
development.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
• Reference: Ch. 1 — Development — Toddler & Autonomy
vs. Shame/Doubt
• NCLEX-Level Stem: A nurse is planning care for a
hospitalized 3-year-old who is newly potty-trained. The
child's parent is frustrated because the child has had
several "accidents" since admission. Which action by the
nurse best supports the child's developmental stage?
• Options:
A. Insert an indwelling urinary catheter to maintain
hygiene and reduce stress for the child and parent.
B. Tell the parent that regression is expected and to put
the child back in diapers for the hospital stay.
C. Collaborate with the parent to establish a simple,
consistent toileting schedule and offer praise for attempts.
D. Explain to the child that big kids use the toilet and
withhold favorite toys until after successful attempts.
, • Correct Answer: C
• Rationales:
o Correct (C): The toddler is in Erikson's stage of
Autonomy vs. Shame/Doubt. Providing simple choices
(within limits) and positive reinforcement supports
autonomy and mastery while maintaining necessary
routine during stress.
o Incorrect (A): This is invasive, unnecessary, and
removes all autonomy and control from the child,
potentially causing psychological harm.
o Incorrect (B): While regression is common, reverting
to diapers without offering supportive strategies can
undermine the child's sense of accomplishment and
mastery.
o Incorrect (D): This punitive approach uses shaming
and negative reinforcement, which fosters shame and
doubt, the negative outcome of this developmental
stage.
• Teaching Point: For toddlers, support autonomy by
offering simple, structured choices and positive
reinforcement.
• 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
NCLEX-RN–Style Questions: Concept 1. Development
Question 1
• Reference: Ch. 1 — Development — Infancy & Trust vs.
Mistrust
• NCLEX-Level Stem: A nurse is assessing a 2-month-old
infant during a well-child visit. The mother reports the
baby is feeding well but "cries too much when put down."
The infant's weight and vital signs are within normal
, parameters. Based on the infant's developmental stage,
which nursing intervention is most appropriate?
• Options:
A. Advise the mother to let the infant cry for progressively
longer periods to encourage self-soothing.
B. Educate the mother that this is normal stranger anxiety
and will resolve on its own in a few months.
C. Teach the mother about the importance of consistent,
responsive caregiving when the infant signals a need.
D. Recommend scheduling feedings and sleep times more
strictly to establish a predictable routine.
• Correct Answer: C
• Rationales:
o Correct (C): At 2 months, an infant is in Erikson's stage
of Trust vs. Mistrust. Consistent, responsive care
when the infant cries builds trust that needs will be
met and is foundational for future development. This
directly addresses the mother's concern with an
evidence-based, supportive intervention.
o Incorrect (A): This advice promotes non-
responsiveness, which can foster mistrust and is not
developmentally appropriate for a young infant.
o Incorrect (B): Stranger anxiety is typical later, around
6-9 months. The crying described is more likely a
signal for basic needs or comfort.
, o Incorrect (D): While routines are helpful, strict
scheduling can ignore the infant's cues for hunger or
comfort, which is counterproductive to building trust.
• Teaching Point: In infancy, consistent, responsive care
builds psychosocial trust—the foundation for future
development.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
• Reference: Ch. 1 — Development — Toddler & Autonomy
vs. Shame/Doubt
• NCLEX-Level Stem: A nurse is planning care for a
hospitalized 3-year-old who is newly potty-trained. The
child's parent is frustrated because the child has had
several "accidents" since admission. Which action by the
nurse best supports the child's developmental stage?
• Options:
A. Insert an indwelling urinary catheter to maintain
hygiene and reduce stress for the child and parent.
B. Tell the parent that regression is expected and to put
the child back in diapers for the hospital stay.
C. Collaborate with the parent to establish a simple,
consistent toileting schedule and offer praise for attempts.
D. Explain to the child that big kids use the toilet and
withhold favorite toys until after successful attempts.
, • Correct Answer: C
• Rationales:
o Correct (C): The toddler is in Erikson's stage of
Autonomy vs. Shame/Doubt. Providing simple choices
(within limits) and positive reinforcement supports
autonomy and mastery while maintaining necessary
routine during stress.
o Incorrect (A): This is invasive, unnecessary, and
removes all autonomy and control from the child,
potentially causing psychological harm.
o Incorrect (B): While regression is common, reverting
to diapers without offering supportive strategies can
undermine the child's sense of accomplishment and
mastery.
o Incorrect (D): This punitive approach uses shaming
and negative reinforcement, which fosters shame and
doubt, the negative outcome of this developmental
stage.
• Teaching Point: For toddlers, support autonomy by
offering simple, structured choices and positive
reinforcement.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
