Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concept: Development
Section: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Text: Concepts for Nursing Practice, 4th Edition – Giddens
1.
A nurse is planning care for a hospitalized toddler who resists
separation from the parent. Which nursing action best reflects
an understanding of developmental attributes?
,A. Encourage independence by limiting parental presence
B. Provide consistent caregivers and allow parental participation
C. Explain procedures in detailed physiologic terms
D. Implement strict behavioral limits to reduce anxiety
Correct Answer: B
Rationale: Toddler developmental attributes include separation
anxiety and the need for consistency and parental presence.
Supporting family participation promotes developmental
security.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Metadata Tags:
Concept: Development
Exemplar: Toddler
Cognitive Level: 3 (Application)
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Developmental Stage Characteristics
2.
An adolescent with newly diagnosed diabetes refuses to
administer insulin at school. Which developmental attribute
most influences this behavior?
,A. Desire for concrete thinking
B. Fear of loss of autonomy
C. Concern about peer acceptance
D. Limited ability to understand consequences
Correct Answer: C
Rationale: Adolescents are strongly influenced by peer
relationships and social acceptance, which may affect health
behaviors.
Text Citation: Giddens, Development Concept – Adolescent
Development.
Metadata Tags:
Concept: Development
Exemplar: Adolescent
Cognitive Level: 4 (Analysis)
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development
3.
Which assessment finding in an older adult reflects expected
developmental change?
A. Sudden confusion
B. Gradual decline in visual acuity
, C. Acute personality change
D. Rapid muscle loss over one week
Correct Answer: B
Rationale: Gradual sensory decline is an expected
developmental change in later adulthood. Acute changes
suggest pathology rather than development.
Text Citation: Giddens, Development Concept – Older Adult.
Metadata Tags:
Concept: Development
Exemplar: Older Adult
Cognitive Level: 3 (Application)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Age-Related Physiologic Change
4.
A preschool child believes hospitalization is punishment for
misbehavior. This reflects which developmental characteristic?
A. Abstract reasoning
B. Magical thinking
C. Formal operational thinking
D. Role confusion
Correct Answer: B
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concept: Development
Section: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Text: Concepts for Nursing Practice, 4th Edition – Giddens
1.
A nurse is planning care for a hospitalized toddler who resists
separation from the parent. Which nursing action best reflects
an understanding of developmental attributes?
,A. Encourage independence by limiting parental presence
B. Provide consistent caregivers and allow parental participation
C. Explain procedures in detailed physiologic terms
D. Implement strict behavioral limits to reduce anxiety
Correct Answer: B
Rationale: Toddler developmental attributes include separation
anxiety and the need for consistency and parental presence.
Supporting family participation promotes developmental
security.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Metadata Tags:
Concept: Development
Exemplar: Toddler
Cognitive Level: 3 (Application)
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Developmental Stage Characteristics
2.
An adolescent with newly diagnosed diabetes refuses to
administer insulin at school. Which developmental attribute
most influences this behavior?
,A. Desire for concrete thinking
B. Fear of loss of autonomy
C. Concern about peer acceptance
D. Limited ability to understand consequences
Correct Answer: C
Rationale: Adolescents are strongly influenced by peer
relationships and social acceptance, which may affect health
behaviors.
Text Citation: Giddens, Development Concept – Adolescent
Development.
Metadata Tags:
Concept: Development
Exemplar: Adolescent
Cognitive Level: 4 (Analysis)
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development
3.
Which assessment finding in an older adult reflects expected
developmental change?
A. Sudden confusion
B. Gradual decline in visual acuity
, C. Acute personality change
D. Rapid muscle loss over one week
Correct Answer: B
Rationale: Gradual sensory decline is an expected
developmental change in later adulthood. Acute changes
suggest pathology rather than development.
Text Citation: Giddens, Development Concept – Older Adult.
Metadata Tags:
Concept: Development
Exemplar: Older Adult
Cognitive Level: 3 (Application)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Age-Related Physiologic Change
4.
A preschool child believes hospitalization is punishment for
misbehavior. This reflects which developmental characteristic?
A. Abstract reasoning
B. Magical thinking
C. Formal operational thinking
D. Role confusion
Correct Answer: B
