Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1.
A nurse is caring for a hospitalized toddler who cries when the
parent leaves the room. Which nursing interpretation best
reflects the child’s developmental stage?
A. The behavior indicates delayed emotional development
B. The behavior reflects normal separation anxiety
,C. The behavior suggests impaired attachment
D. The behavior indicates lack of socialization
Correct Answer: B
Rationale: Separation anxiety is a normal developmental
characteristic of toddlers and reflects appropriate attachment
and emotional development.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept – Toddler emotional development
Metadata Tags
Concept: Development
Exemplar: Toddler Development
Cognitive Level: 3
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Emotional/Social Development
2.
The nurse plans care for a preschool child. Which intervention
supports appropriate developmental needs?
A. Provide detailed written instructions
B. Encourage independent decision-making about medical care
C. Use play to explain procedures
D. Limit parental presence during care
Correct Answer: C
,Rationale: Preschool children learn through play and
imagination; therapeutic play supports cognitive and emotional
development.
Text Citation: Giddens, 4th ed., Development Concept –
Preschool learning characteristics
Metadata Tags
Concept: Development
Exemplar: Preschool
Cognitive Level: 3
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
3.
Which assessment finding best indicates healthy development
in a school-age child?
A. Prefers solitary play only
B. Expresses fear of strangers
C. Shows interest in group activities and achievement
D. Relies completely on parents for decision-making
Correct Answer: C
Rationale: School-age children focus on industry, competence,
and peer relationships, reflecting normal psychosocial
development.
, Text Citation: Giddens, 4th ed., Development Concept – School-
age characteristics
Metadata Tags
Concept: Development
Exemplar: School-age
Cognitive Level: 2
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Psychosocial Development
4.
An adolescent refuses parental involvement in a health
discussion. What is the nurse’s best response?
A. Insist the parent remain present
B. Provide private time for the adolescent
C. Delay the discussion until discharge
D. Document noncompliance
Correct Answer: B
Rationale: Adolescents seek autonomy and identity formation;
privacy supports normal developmental needs.
Text Citation: Giddens, 4th ed., Development Concept –
Adolescent psychosocial development
Metadata Tags
Concept: Development
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1.
A nurse is caring for a hospitalized toddler who cries when the
parent leaves the room. Which nursing interpretation best
reflects the child’s developmental stage?
A. The behavior indicates delayed emotional development
B. The behavior reflects normal separation anxiety
,C. The behavior suggests impaired attachment
D. The behavior indicates lack of socialization
Correct Answer: B
Rationale: Separation anxiety is a normal developmental
characteristic of toddlers and reflects appropriate attachment
and emotional development.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept – Toddler emotional development
Metadata Tags
Concept: Development
Exemplar: Toddler Development
Cognitive Level: 3
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Emotional/Social Development
2.
The nurse plans care for a preschool child. Which intervention
supports appropriate developmental needs?
A. Provide detailed written instructions
B. Encourage independent decision-making about medical care
C. Use play to explain procedures
D. Limit parental presence during care
Correct Answer: C
,Rationale: Preschool children learn through play and
imagination; therapeutic play supports cognitive and emotional
development.
Text Citation: Giddens, 4th ed., Development Concept –
Preschool learning characteristics
Metadata Tags
Concept: Development
Exemplar: Preschool
Cognitive Level: 3
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
3.
Which assessment finding best indicates healthy development
in a school-age child?
A. Prefers solitary play only
B. Expresses fear of strangers
C. Shows interest in group activities and achievement
D. Relies completely on parents for decision-making
Correct Answer: C
Rationale: School-age children focus on industry, competence,
and peer relationships, reflecting normal psychosocial
development.
, Text Citation: Giddens, 4th ed., Development Concept – School-
age characteristics
Metadata Tags
Concept: Development
Exemplar: School-age
Cognitive Level: 2
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Psychosocial Development
4.
An adolescent refuses parental involvement in a health
discussion. What is the nurse’s best response?
A. Insist the parent remain present
B. Provide private time for the adolescent
C. Delay the discussion until discharge
D. Document noncompliance
Correct Answer: B
Rationale: Adolescents seek autonomy and identity formation;
privacy supports normal developmental needs.
Text Citation: Giddens, 4th ed., Development Concept –
Adolescent psychosocial development
Metadata Tags
Concept: Development
