Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concept: Development
Source: Concepts for Nursing Practice
1. A nurse is assessing a hospitalized adult who
demonstrates difficulty adapting to changes in the care
routine. Which attribute of the concept of Development
, best explains this response?
A. Predictable progression across the lifespan
B. Interaction between biological and environmental
factors
C. Individual variability in developmental processes
D. Sequential achievement of age-related milestones
Correct Answer: C
Rationale: Development is characterized by individual
variability; people progress through developmental stages at
different rates and respond differently to environmental
changes. Difficulty adapting reflects this variability rather than a
predictable or strictly sequential pattern.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development chapter
Metadata Tags:
Concept: Development
Exemplar: Adult hospitalization
Cognitive Level: Analyze
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Individual variability
2. Which nursing action best demonstrates application of
the concept of Development when planning care for an
older adult?
, A. Providing identical teaching materials used for younger
adults
B. Focusing care planning solely on chronological age
C. Incorporating the patient’s life experiences into
education
D. Prioritizing physical changes over psychosocial needs
Correct Answer: C
Rationale: Development encompasses cumulative life
experiences that influence learning and adaptation. Integrating
prior experiences supports developmentally appropriate,
patient-centered care.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development chapter
Metadata Tags:
Concept: Development
Exemplar: Older adult learning
Cognitive Level: Apply
Clinical Judgment Domain: Generating solutions
Difficulty Estimate: Easy
Primary Attribute Tested: Lifespan perspective
3. A nurse caring for an adolescent notes frequent risk-
taking behaviors. Which developmental attribute most
directly explains this observation?
A. Regression during illness
, B. Ongoing neurological maturation
C. Stable personality traits
D. Completion of cognitive development
Correct Answer: B
Rationale: Development includes neurological maturation,
which continues into early adulthood. In adolescence,
incomplete development of executive function contributes to
risk-taking behaviors.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development chapter
Metadata Tags:
Concept: Development
Exemplar: Adolescence
Cognitive Level: Analyze
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Biological maturation
4. Which assessment finding best reflects the interactive
nature of development?
A. Height increases during childhood
B. Age-related decline in vision
C. Language delay influenced by limited stimulation
D. Achievement of motor milestones in infancy
Correct Answer: C
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
Concept: Development
Source: Concepts for Nursing Practice
1. A nurse is assessing a hospitalized adult who
demonstrates difficulty adapting to changes in the care
routine. Which attribute of the concept of Development
, best explains this response?
A. Predictable progression across the lifespan
B. Interaction between biological and environmental
factors
C. Individual variability in developmental processes
D. Sequential achievement of age-related milestones
Correct Answer: C
Rationale: Development is characterized by individual
variability; people progress through developmental stages at
different rates and respond differently to environmental
changes. Difficulty adapting reflects this variability rather than a
predictable or strictly sequential pattern.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development chapter
Metadata Tags:
Concept: Development
Exemplar: Adult hospitalization
Cognitive Level: Analyze
Clinical Judgment Domain: Analyzing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Individual variability
2. Which nursing action best demonstrates application of
the concept of Development when planning care for an
older adult?
, A. Providing identical teaching materials used for younger
adults
B. Focusing care planning solely on chronological age
C. Incorporating the patient’s life experiences into
education
D. Prioritizing physical changes over psychosocial needs
Correct Answer: C
Rationale: Development encompasses cumulative life
experiences that influence learning and adaptation. Integrating
prior experiences supports developmentally appropriate,
patient-centered care.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development chapter
Metadata Tags:
Concept: Development
Exemplar: Older adult learning
Cognitive Level: Apply
Clinical Judgment Domain: Generating solutions
Difficulty Estimate: Easy
Primary Attribute Tested: Lifespan perspective
3. A nurse caring for an adolescent notes frequent risk-
taking behaviors. Which developmental attribute most
directly explains this observation?
A. Regression during illness
, B. Ongoing neurological maturation
C. Stable personality traits
D. Completion of cognitive development
Correct Answer: B
Rationale: Development includes neurological maturation,
which continues into early adulthood. In adolescence,
incomplete development of executive function contributes to
risk-taking behaviors.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development chapter
Metadata Tags:
Concept: Development
Exemplar: Adolescence
Cognitive Level: Analyze
Clinical Judgment Domain: Recognizing cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Biological maturation
4. Which assessment finding best reflects the interactive
nature of development?
A. Height increases during childhood
B. Age-related decline in vision
C. Language delay influenced by limited stimulation
D. Achievement of motor milestones in infancy
Correct Answer: C
