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 assessing a 4-month-old infant during a well-
child visit. The parent reports the infant smiles spontaneously,
follows objects with eyes, and holds a rattle briefly when placed
in the hand but does not roll over yet. Which statement by the
nurse is most appropriate based on developmental milestones?
Options:
,A) “Your baby is meeting expected social and fine motor
milestones for this age.”
B) “We need to refer your baby for early intervention due to a
gross motor delay.”
C) “You should place the baby in a prone position for longer
periods each day to encourage rolling.”
D) “It is concerning that your baby is not yet rolling over; this
indicates neurological impairment.”
Correct Answer: A
Rationale — Correct: At 4 months, expected milestones include
social smiling (social/emotional), visual tracking
(cognitive/sensory), and holding a rattle briefly (fine motor).
Rolling over (a gross motor skill) typically emerges around 4-6
months, so its absence is not yet a delay. The nurse’s statement
validates normal development and educates the
parent. Rationale — Incorrect: B) Referral is premature; rolling
is not consistently expected until 6 months. C) While tummy
time is important, the instruction is not the priority based solely
on the data given. D) This statement is alarmist and not
evidence-based; single missed milestones require further
assessment, not immediate diagnosis.
Teaching Point: Assess developmental milestones holistically
using validated tools; avoid isolating one skill.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
,Question 2
Reference: Ch. 1 — Development — Health Promotion &
Teaching
Stem: A nurse is planning anticipatory guidance for the parents
of a 9-month-old infant. The infant crawls, pulls to stand, and
uses a pincer grasp. Which safety topic is the highest
priority for the nurse to include?
Options:
A) Strategies to transition from breast milk to whole cow’s milk.
B) The importance of rear-facing car seats in vehicles.
C) Baby-proofing the home to prevent falls and poisoning.
D) Introducing a variety of soft table foods.
Correct Answer: C
Rationale — Correct: At 9 months, increased mobility (crawling,
pulling to stand) and fine motor skill (pincer grasp) dramatically
increase risks for falls, ingestion of small objects, and poisoning.
Baby-proofing is the priority safety intervention. Rationale —
Incorrect: A) Nutrition is important, but safety is the priority. B)
Car seat safety is always important but is not newly emergent at
this stage. D) Nutrition is important, but safety risks are more
acute.
Teaching Point: Anticipatory guidance must evolve with
developmental milestones, prioritizing injury prevention.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
, Question 3
Reference: Ch. 1 — Development — Theoretical Application
Stem: A nurse is caring for a 4-year-old child hospitalized for
tonsillitis. The child is often seen playing with action figures,
making them “fight” and then “go to the hospital to get better.”
According to Erikson’s theory, which stage is this child
successfully navigating?
Options:
A) Autonomy vs. Shame and Doubt
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Trust vs. Mistrust
Correct Answer: B
Rationale — Correct: Erikson’s Initiative vs. Guilt stage (ages 3-
6) involves engaging in make-believe play, taking on roles, and
testing boundaries. The child’s imaginative play demonstrates
initiative. Rationale — Incorrect: A) Autonomy vs. Shame and
Doubt (ages 1-3) focuses on self-control and independence. C)
Industry vs. Inferiority (ages 6-12) focuses on competence
through tasks. D) Trust vs. Mistrust (infancy) focuses on
consistency of care.
Teaching Point: Use developmental theory to interpret
behaviors and plan therapeutic play.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is assessing a 4-month-old infant during a well-
child visit. The parent reports the infant smiles spontaneously,
follows objects with eyes, and holds a rattle briefly when placed
in the hand but does not roll over yet. Which statement by the
nurse is most appropriate based on developmental milestones?
Options:
,A) “Your baby is meeting expected social and fine motor
milestones for this age.”
B) “We need to refer your baby for early intervention due to a
gross motor delay.”
C) “You should place the baby in a prone position for longer
periods each day to encourage rolling.”
D) “It is concerning that your baby is not yet rolling over; this
indicates neurological impairment.”
Correct Answer: A
Rationale — Correct: At 4 months, expected milestones include
social smiling (social/emotional), visual tracking
(cognitive/sensory), and holding a rattle briefly (fine motor).
Rolling over (a gross motor skill) typically emerges around 4-6
months, so its absence is not yet a delay. The nurse’s statement
validates normal development and educates the
parent. Rationale — Incorrect: B) Referral is premature; rolling
is not consistently expected until 6 months. C) While tummy
time is important, the instruction is not the priority based solely
on the data given. D) This statement is alarmist and not
evidence-based; single missed milestones require further
assessment, not immediate diagnosis.
Teaching Point: Assess developmental milestones holistically
using validated tools; avoid isolating one skill.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
,Question 2
Reference: Ch. 1 — Development — Health Promotion &
Teaching
Stem: A nurse is planning anticipatory guidance for the parents
of a 9-month-old infant. The infant crawls, pulls to stand, and
uses a pincer grasp. Which safety topic is the highest
priority for the nurse to include?
Options:
A) Strategies to transition from breast milk to whole cow’s milk.
B) The importance of rear-facing car seats in vehicles.
C) Baby-proofing the home to prevent falls and poisoning.
D) Introducing a variety of soft table foods.
Correct Answer: C
Rationale — Correct: At 9 months, increased mobility (crawling,
pulling to stand) and fine motor skill (pincer grasp) dramatically
increase risks for falls, ingestion of small objects, and poisoning.
Baby-proofing is the priority safety intervention. Rationale —
Incorrect: A) Nutrition is important, but safety is the priority. B)
Car seat safety is always important but is not newly emergent at
this stage. D) Nutrition is important, but safety risks are more
acute.
Teaching Point: Anticipatory guidance must evolve with
developmental milestones, prioritizing injury prevention.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
, Question 3
Reference: Ch. 1 — Development — Theoretical Application
Stem: A nurse is caring for a 4-year-old child hospitalized for
tonsillitis. The child is often seen playing with action figures,
making them “fight” and then “go to the hospital to get better.”
According to Erikson’s theory, which stage is this child
successfully navigating?
Options:
A) Autonomy vs. Shame and Doubt
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Trust vs. Mistrust
Correct Answer: B
Rationale — Correct: Erikson’s Initiative vs. Guilt stage (ages 3-
6) involves engaging in make-believe play, taking on roles, and
testing boundaries. The child’s imaginative play demonstrates
initiative. Rationale — Incorrect: A) Autonomy vs. Shame and
Doubt (ages 1-3) focuses on self-control and independence. C)
Industry vs. Inferiority (ages 6-12) focuses on competence
through tasks. D) Trust vs. Mistrust (infancy) focuses on
consistency of care.
Teaching Point: Use developmental theory to interpret
behaviors and plan therapeutic play.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
