Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
SECTION I: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Concept: Development
1. A nurse is assessing a toddler during a well-child visit.
Which finding best reflects normal developmental
progression according to the Development concept?
A. Increased dependence on caregivers for decision-
making
B. Rapid acquisition of autonomy with emerging
independence
, C. Exclusive reliance on abstract thinking
D. Regression to earlier developmental behaviors
Correct Answer: B
Concept-Based Rationale: Development involves predictable
progression across the lifespan, including increasing autonomy
during toddlerhood. Emerging independence reflects expected
developmental attributes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept.
Metadata Tags:
Concept: Development
Exemplar: Lifespan stages
Cognitive Level: Application
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Developmental progression
2. A nurse evaluates a school-age child’s behavior. Which
activity indicates appropriate cognitive development?
A. Engaging primarily in symbolic play
B. Demonstrating logical thinking about concrete objects
C. Inability to understand cause-and-effect relationships
D. Reliance solely on sensory exploration
Correct Answer: B
Concept-Based Rationale: School-age children typically
demonstrate concrete logical thinking, reflecting expected
cognitive developmental attributes.
,Text Citation: Giddens, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Cognitive development
Cognitive Level: Application
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive stage characteristics
3. The nurse recognizes which factor as a primary influence
on human development?
A. Fixed biological destiny without environmental impact
B. Interaction between genetics and environment
C. Solely socioeconomic conditions
D. Random progression without predictable patterns
Correct Answer: B
Concept-Based Rationale: Development results from complex
interactions between genetic predisposition and environmental
influences.
Text Citation: Giddens, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Influencing factors
Cognitive Level: Comprehension
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Development determinants
, 4. A nurse assesses an adolescent who seeks peer approval
and identity exploration. Which interpretation is most
appropriate?
A. Delayed development
B. Expected psychosocial developmental task
C. Cognitive impairment
D. Maladaptive coping behavior
Correct Answer: B
Concept-Based Rationale: Identity formation and peer
relationships are key psychosocial attributes during
adolescence.
Text Citation: Giddens, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Psychosocial development
Cognitive Level: Application
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial tasks
5. A nurse plans care for an older adult. Which intervention
best supports developmental needs?
A. Encouraging dependency
B. Supporting reflection on life achievements
C. Limiting social interactions
D. Avoiding discussions about past experiences
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
SECTION I: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Concept: Development
1. A nurse is assessing a toddler during a well-child visit.
Which finding best reflects normal developmental
progression according to the Development concept?
A. Increased dependence on caregivers for decision-
making
B. Rapid acquisition of autonomy with emerging
independence
, C. Exclusive reliance on abstract thinking
D. Regression to earlier developmental behaviors
Correct Answer: B
Concept-Based Rationale: Development involves predictable
progression across the lifespan, including increasing autonomy
during toddlerhood. Emerging independence reflects expected
developmental attributes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development concept.
Metadata Tags:
Concept: Development
Exemplar: Lifespan stages
Cognitive Level: Application
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Developmental progression
2. A nurse evaluates a school-age child’s behavior. Which
activity indicates appropriate cognitive development?
A. Engaging primarily in symbolic play
B. Demonstrating logical thinking about concrete objects
C. Inability to understand cause-and-effect relationships
D. Reliance solely on sensory exploration
Correct Answer: B
Concept-Based Rationale: School-age children typically
demonstrate concrete logical thinking, reflecting expected
cognitive developmental attributes.
,Text Citation: Giddens, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Cognitive development
Cognitive Level: Application
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive stage characteristics
3. The nurse recognizes which factor as a primary influence
on human development?
A. Fixed biological destiny without environmental impact
B. Interaction between genetics and environment
C. Solely socioeconomic conditions
D. Random progression without predictable patterns
Correct Answer: B
Concept-Based Rationale: Development results from complex
interactions between genetic predisposition and environmental
influences.
Text Citation: Giddens, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Influencing factors
Cognitive Level: Comprehension
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Easy
Primary Attribute Tested: Development determinants
, 4. A nurse assesses an adolescent who seeks peer approval
and identity exploration. Which interpretation is most
appropriate?
A. Delayed development
B. Expected psychosocial developmental task
C. Cognitive impairment
D. Maladaptive coping behavior
Correct Answer: B
Concept-Based Rationale: Identity formation and peer
relationships are key psychosocial attributes during
adolescence.
Text Citation: Giddens, Development concept.
Metadata Tags:
Concept: Development
Exemplar: Psychosocial development
Cognitive Level: Application
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial tasks
5. A nurse plans care for an older adult. Which intervention
best supports developmental needs?
A. Encouraging dependency
B. Supporting reflection on life achievements
C. Limiting social interactions
D. Avoiding discussions about past experiences
