CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Q1
Reference: Ch. 1 — Development — Definition & Scope
Stem: A 9-month-old infant is brought to the clinic for a well
visit. The mother reports the infant is not sitting unsupported
and does not use pincer grasp yet; weight gain and feeding are
normal. Which nursing action is the most appropriate next
step?
,A. Reassure the mother that infants develop at their own pace
and schedule a routine 12-month follow-up.
B. Perform a focused developmental screening and observe the
infant’s gross and fine motor skills now.
C. Refer immediately to early intervention for physical therapy
without further assessment.
D. Teach the mother activities to encourage gross motor
development and discharge with return PRN.
Correct answer: B
Rationale — Correct (B): Perform a focused developmental
screening to determine whether delays meet criteria for
referral. Developmental evaluation integrates observed
behavior with parental report; early identification requires
screening before referral. This aligns with nursing assessment
role and safety by identifying possible delay early.
Rationales — Incorrect:
A. Reassurance alone may delay identification — risk of missed
early intervention.
C. Immediate referral without screening may waste resources
and bypass needed assessment.
D. Teaching is useful but should follow assessment; action
without assessment risks missing comorbid issues affecting
development.
Teaching point: Always screen when parental concern or
atypical milestone presentation exists.
,Citation: Giddens, J. F. (2024). Concepts for Nursing Practice
(4th ed.). Chapter 1.
Q2
Reference: Ch. 1 — Development — Attributes & Criteria
(growth vs. development)
Stem: A school nurse notes that an 11-year-old’s height
percentile has increased markedly over 6 months, but the
child’s fine motor coordination and peer social skills lag behind
same-age classmates. Which interpretation best reflects
developmental thinking?
A. Growth is accelerating therefore development will
automatically follow — no concern.
B. Physical growth and psychosocial development can progress
at different rates; assess development domains separately.
C. A sudden increase in height indicates an endocrine disorder
and not developmental concern.
D. Social delays are behavioral and unrelated to developmental
milestones; recommend counseling only.
Correct answer: B
Rationale — Correct (B): Development is multi-domain; growth
(height) may not parallel psychosocial or motor development.
Nursing assessment should evaluate each domain and consider
contributing factors. This supports concept-based,
individualized care.
, Rationales — Incorrect:
A. Incorrect: growth does not guarantee synchronous
developmental gains.
C. Height change could have endocrine causes but cannot
exclude neurodevelopmental or psychosocial delays;
assessment first.
D. Social delays may be developmental — not solely behavioral;
limiting response to counseling misses comprehensive
evaluation.
Teaching point: Evaluate growth and multiple developmental
domains independently.
Citation: Giddens, J. F. (2024). Concepts for Nursing Practice
(4th ed.). Chapter 1.
Q3
Reference: Ch. 1 — Development — Theoretical Links (Erikson
& Piaget)
Stem: A 3-year-old hospitalized for dehydration refuses
caregivers’ instructions and repeatedly says “no” during care.
When planning nursing interventions, which approach best uses
developmental theory to promote cooperation?
A. Use time-out for noncompliance and insist on the nurse’s
directions to maintain control.
B. Offer simple choices (e.g., “Do you want the cup or the blue
cup?”) and use play to explain procedures.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Q1
Reference: Ch. 1 — Development — Definition & Scope
Stem: A 9-month-old infant is brought to the clinic for a well
visit. The mother reports the infant is not sitting unsupported
and does not use pincer grasp yet; weight gain and feeding are
normal. Which nursing action is the most appropriate next
step?
,A. Reassure the mother that infants develop at their own pace
and schedule a routine 12-month follow-up.
B. Perform a focused developmental screening and observe the
infant’s gross and fine motor skills now.
C. Refer immediately to early intervention for physical therapy
without further assessment.
D. Teach the mother activities to encourage gross motor
development and discharge with return PRN.
Correct answer: B
Rationale — Correct (B): Perform a focused developmental
screening to determine whether delays meet criteria for
referral. Developmental evaluation integrates observed
behavior with parental report; early identification requires
screening before referral. This aligns with nursing assessment
role and safety by identifying possible delay early.
Rationales — Incorrect:
A. Reassurance alone may delay identification — risk of missed
early intervention.
C. Immediate referral without screening may waste resources
and bypass needed assessment.
D. Teaching is useful but should follow assessment; action
without assessment risks missing comorbid issues affecting
development.
Teaching point: Always screen when parental concern or
atypical milestone presentation exists.
,Citation: Giddens, J. F. (2024). Concepts for Nursing Practice
(4th ed.). Chapter 1.
Q2
Reference: Ch. 1 — Development — Attributes & Criteria
(growth vs. development)
Stem: A school nurse notes that an 11-year-old’s height
percentile has increased markedly over 6 months, but the
child’s fine motor coordination and peer social skills lag behind
same-age classmates. Which interpretation best reflects
developmental thinking?
A. Growth is accelerating therefore development will
automatically follow — no concern.
B. Physical growth and psychosocial development can progress
at different rates; assess development domains separately.
C. A sudden increase in height indicates an endocrine disorder
and not developmental concern.
D. Social delays are behavioral and unrelated to developmental
milestones; recommend counseling only.
Correct answer: B
Rationale — Correct (B): Development is multi-domain; growth
(height) may not parallel psychosocial or motor development.
Nursing assessment should evaluate each domain and consider
contributing factors. This supports concept-based,
individualized care.
, Rationales — Incorrect:
A. Incorrect: growth does not guarantee synchronous
developmental gains.
C. Height change could have endocrine causes but cannot
exclude neurodevelopmental or psychosocial delays;
assessment first.
D. Social delays may be developmental — not solely behavioral;
limiting response to counseling misses comprehensive
evaluation.
Teaching point: Evaluate growth and multiple developmental
domains independently.
Citation: Giddens, J. F. (2024). Concepts for Nursing Practice
(4th ed.). Chapter 1.
Q3
Reference: Ch. 1 — Development — Theoretical Links (Erikson
& Piaget)
Stem: A 3-year-old hospitalized for dehydration refuses
caregivers’ instructions and repeatedly says “no” during care.
When planning nursing interventions, which approach best uses
developmental theory to promote cooperation?
A. Use time-out for noncompliance and insist on the nurse’s
directions to maintain control.
B. Offer simple choices (e.g., “Do you want the cup or the blue
cup?”) and use play to explain procedures.
