Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concepts for Nursing Practice
1. A nurse is reinforcing teaching with parents of a 9-month-
old infant. Which behavior best reflects attainment of a
major developmental attribute of this stage?
A. Engages in parallel play with peers
B. Demonstrates object permanence
C. Uses abstract reasoning to solve problems
D. Verbalizes future-oriented goals
,Correct Answer: B
Rationale: In infancy, cognitive development includes the
emergence of object permanence—the understanding that
objects continue to exist even when not visible. This reflects
progression in sensorimotor cognitive processes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, infancy cognitive attributes section.
Concept: Development
Exemplar: Infancy
Cognitive Level: Analyze
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
2. A toddler hospitalized for dehydration repeatedly says
“No!” and resists care. Which interpretation best reflects
normal developmental attributes?
A. The child is exhibiting delayed psychosocial
development
B. The child is demonstrating autonomy development
C. The child lacks attachment to caregivers
D. The child is exhibiting impaired cognitive reasoning
Correct Answer: B
,Rationale: Toddlers are in a developmental stage characterized
by striving for autonomy. Negativism is a typical expression of
emerging independence.
Text Citation: Giddens, Development Concept, toddler
psychosocial attributes.
Concept: Development
Exemplar: Toddler
Cognitive Level: Analyze
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development
3. A preschool child insists on magical explanations for illness.
Which developmental attribute explains this response?
A. Concrete operational thinking
B. Formal operational reasoning
C. Preoperational egocentric thinking
D. Postconventional moral reasoning
Correct Answer: C
Rationale: Preschool children demonstrate preoperational
thinking characterized by egocentrism and magical thinking,
influencing their interpretation of illness and events.
Text Citation: Giddens, Development Concept, preschool
cognitive attributes.
, Concept: Development
Exemplar: Preschooler
Cognitive Level: Apply
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
4. A school-age child expresses pride after independently
completing a project. Which developmental task is being
supported?
A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: D
Rationale: School-age children focus on developing competence
and productivity. Success supports industry and prevents
feelings of inferiority.
Text Citation: Giddens, Development Concept, school-age
psychosocial attributes.
Concept: Development
Exemplar: School-age
Cognitive Level: Apply
Clinical Judgment Domain: Generating Solutions
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concepts for Nursing Practice
1. A nurse is reinforcing teaching with parents of a 9-month-
old infant. Which behavior best reflects attainment of a
major developmental attribute of this stage?
A. Engages in parallel play with peers
B. Demonstrates object permanence
C. Uses abstract reasoning to solve problems
D. Verbalizes future-oriented goals
,Correct Answer: B
Rationale: In infancy, cognitive development includes the
emergence of object permanence—the understanding that
objects continue to exist even when not visible. This reflects
progression in sensorimotor cognitive processes.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, infancy cognitive attributes section.
Concept: Development
Exemplar: Infancy
Cognitive Level: Analyze
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
2. A toddler hospitalized for dehydration repeatedly says
“No!” and resists care. Which interpretation best reflects
normal developmental attributes?
A. The child is exhibiting delayed psychosocial
development
B. The child is demonstrating autonomy development
C. The child lacks attachment to caregivers
D. The child is exhibiting impaired cognitive reasoning
Correct Answer: B
,Rationale: Toddlers are in a developmental stage characterized
by striving for autonomy. Negativism is a typical expression of
emerging independence.
Text Citation: Giddens, Development Concept, toddler
psychosocial attributes.
Concept: Development
Exemplar: Toddler
Cognitive Level: Analyze
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development
3. A preschool child insists on magical explanations for illness.
Which developmental attribute explains this response?
A. Concrete operational thinking
B. Formal operational reasoning
C. Preoperational egocentric thinking
D. Postconventional moral reasoning
Correct Answer: C
Rationale: Preschool children demonstrate preoperational
thinking characterized by egocentrism and magical thinking,
influencing their interpretation of illness and events.
Text Citation: Giddens, Development Concept, preschool
cognitive attributes.
, Concept: Development
Exemplar: Preschooler
Cognitive Level: Apply
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
4. A school-age child expresses pride after independently
completing a project. Which developmental task is being
supported?
A. Trust vs. mistrust
B. Autonomy vs. shame
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: D
Rationale: School-age children focus on developing competence
and productivity. Success supports industry and prevents
feelings of inferiority.
Text Citation: Giddens, Development Concept, school-age
psychosocial attributes.
Concept: Development
Exemplar: School-age
Cognitive Level: Apply
Clinical Judgment Domain: Generating Solutions
