eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
1. A nurse is explaining the Development concept to a newly
hired graduate nurse. Which statement best reflects the
definition of development as presented in the text?
A. Development refers to predictable physical changes that
occur with aging.
B. Development is the progression of cognitive skills across the
lifespan.
C. Development is the dynamic process of growth and change
across the lifespan influenced by multiple factors.
D. Development occurs in sequential stages that are unaffected
by environment.
,Correct Answer: C
Rationale: The Development concept is defined as a dynamic,
lifelong process of growth and change influenced by genetic,
environmental, social, and experiential factors. It is
multidimensional and not limited to physical or cognitive
domains.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept.
Metadata Tags:
Concept: Development
Exemplar: Lifespan (General)
Cognitive Level: Understand (Level 2)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Easy
Primary Attribute Tested: Concept Definition
2. A nurse assesses a preschool-age child who insists on
completing tasks independently but becomes frustrated
when unable to succeed. Which developmental attribute is
most evident?
A. Trust formation
B. Initiative development
C. Generativity
D. Integrity consolidation
Correct Answer: B
,Rationale: Preschool-age children demonstrate initiative as they
attempt new activities and assert independence. Frustration
when unsuccessful reflects this developmental attribute.
Text Citation: Giddens, Development Concept, psychosocial
attributes.
Metadata Tags:
Concept: Development
Exemplar: Early Childhood
Cognitive Level: Apply (Level 3)
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Attribute
3. A hospitalized adolescent refuses parental presence during
teaching and asks to speak privately with the nurse. What
developmental priority should guide the nurse’s response?
A. Reinforcement of parental authority
B. Promotion of autonomy and identity formation
C. Focus on concrete operational reasoning
D. Prevention of peer influence
Correct Answer: B
Rationale: Adolescents are engaged in identity formation and
increasing autonomy. Respecting privacy supports normal
psychosocial development.
, Text Citation: Giddens, Development Concept, adolescence.
Metadata Tags:
Concept: Development
Exemplar: Adolescence
Cognitive Level: Apply (Level 3)
Clinical Judgment Domain: Generating Solutions
Difficulty Estimate: Moderate
Primary Attribute Tested: Identity Formation
4. An older adult expresses satisfaction with life
accomplishments and minimal regret. Which
developmental outcome does this reflect?
A. Role confusion
B. Despair
C. Integrity
D. Isolation
Correct Answer: C
Rationale: Later adulthood is characterized by reflection on life.
Satisfaction and acceptance indicate ego integrity.
Text Citation: Giddens, Development Concept, older adulthood.
Metadata Tags:
Concept: Development
Exemplar: Older Adulthood
Cognitive Level: Apply (Level 3)