CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Theoretical Application
Stem: A nurse is planning anticipatory guidance for the parents
of a 4-year-old child. The parents express frustration because
their child often insists on choosing their own clothes, which
frequently do not match. Using Erikson’s theory of psychosocial
development, which nursing response is most appropriate?
A. "This is a sign of developing autonomy. It’s important to
allow safe choices to build independence."
,B. "This is typical of the initiative vs. guilt stage. Redirect this
energy into structured play activities instead."
C. "This behavior suggests difficulty with industry. Praise them
when they make a correct choice."
D. "This represents a struggle with identity vs. role confusion.
Setting firm limits is necessary."
Correct Answer: A
Rationales:
• Correct (A): Per Erikson, the toddler/preschool age (1-3
years) is characterized by the conflict of autonomy vs.
shame/doubt. A 4-year-old is consolidating this stage.
Allowing safe, age-appropriate choices (like clothing)
supports the development of autonomy and self-
confidence without compromising safety.
• Incorrect (B): Initiative vs. guilt (3-6 years) involves
purposefully engaging in activities and facing
consequences. While the child is in this stage, the
described behavior (choosing clothes) is more
representative of the preceding autonomy stage.
Redirection is not the priority.
• Incorrect (C): Industry vs. inferiority describes school-aged
children (6-12 years) who are focused on mastering skills
and receiving praise for accomplishments. This does not
apply to a 4-year-old.
, • Incorrect (D): Identity vs. role confusion is the conflict of
adolescence (12-20 years). Firm limits for clothing choice
are developmentally inappropriate for a preschooler and
could foster shame.
Teaching Point: In Erikson’s stages, toddlers/preschoolers
develop autonomy through safe choices; school-age children
develop industry through task mastery.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is assessing a 9-month-old infant during a well-
child visit. The mother states the infant cries intensely when
held by the grandmother, who is a weekly visitor. Which
assessment finding, if also present, would be most consistent
with a typical developmental milestone for this age?
A. The infant has a vocabulary of 3-5 words.
B. The infant displays "stranger anxiety."
C. The infant can build a tower of two cubes.
D. The infant walks while holding onto furniture.
Correct Answer: B
Rationales:
, • Correct (B): Stranger anxiety, or wariness of unfamiliar
people, is a classic psychosocial milestone indicating
secure attachment, typically emerging between 6-9
months of age.
• Incorrect (A): A vocabulary of 3-5 words is not expected
until approximately 12-15 months of age.
• Incorrect (C): Building a tower of two cubes is a fine motor
skill typically achieved around 15-18 months of age.
• Incorrect (D): Walking while holding onto furniture
(cruising) usually begins around 9-12 months, making it a
later milestone for a 9-month-old.
Teaching Point: Stranger anxiety peaks between 6-9 months,
signaling healthy attachment and cognitive development
(object permanence).
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Health Promotion &
Education
Stem: A school nurse is planning a health education session for
a group of adolescents. Based on Piaget’s theory of cognitive
development, which teaching strategy would be most effective
for this age group?
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Theoretical Application
Stem: A nurse is planning anticipatory guidance for the parents
of a 4-year-old child. The parents express frustration because
their child often insists on choosing their own clothes, which
frequently do not match. Using Erikson’s theory of psychosocial
development, which nursing response is most appropriate?
A. "This is a sign of developing autonomy. It’s important to
allow safe choices to build independence."
,B. "This is typical of the initiative vs. guilt stage. Redirect this
energy into structured play activities instead."
C. "This behavior suggests difficulty with industry. Praise them
when they make a correct choice."
D. "This represents a struggle with identity vs. role confusion.
Setting firm limits is necessary."
Correct Answer: A
Rationales:
• Correct (A): Per Erikson, the toddler/preschool age (1-3
years) is characterized by the conflict of autonomy vs.
shame/doubt. A 4-year-old is consolidating this stage.
Allowing safe, age-appropriate choices (like clothing)
supports the development of autonomy and self-
confidence without compromising safety.
• Incorrect (B): Initiative vs. guilt (3-6 years) involves
purposefully engaging in activities and facing
consequences. While the child is in this stage, the
described behavior (choosing clothes) is more
representative of the preceding autonomy stage.
Redirection is not the priority.
• Incorrect (C): Industry vs. inferiority describes school-aged
children (6-12 years) who are focused on mastering skills
and receiving praise for accomplishments. This does not
apply to a 4-year-old.
, • Incorrect (D): Identity vs. role confusion is the conflict of
adolescence (12-20 years). Firm limits for clothing choice
are developmentally inappropriate for a preschooler and
could foster shame.
Teaching Point: In Erikson’s stages, toddlers/preschoolers
develop autonomy through safe choices; school-age children
develop industry through task mastery.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is assessing a 9-month-old infant during a well-
child visit. The mother states the infant cries intensely when
held by the grandmother, who is a weekly visitor. Which
assessment finding, if also present, would be most consistent
with a typical developmental milestone for this age?
A. The infant has a vocabulary of 3-5 words.
B. The infant displays "stranger anxiety."
C. The infant can build a tower of two cubes.
D. The infant walks while holding onto furniture.
Correct Answer: B
Rationales:
, • Correct (B): Stranger anxiety, or wariness of unfamiliar
people, is a classic psychosocial milestone indicating
secure attachment, typically emerging between 6-9
months of age.
• Incorrect (A): A vocabulary of 3-5 words is not expected
until approximately 12-15 months of age.
• Incorrect (C): Building a tower of two cubes is a fine motor
skill typically achieved around 15-18 months of age.
• Incorrect (D): Walking while holding onto furniture
(cruising) usually begins around 9-12 months, making it a
later milestone for a 9-month-old.
Teaching Point: Stranger anxiety peaks between 6-9 months,
signaling healthy attachment and cognitive development
(object permanence).
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Health Promotion &
Education
Stem: A school nurse is planning a health education session for
a group of adolescents. Based on Piaget’s theory of cognitive
development, which teaching strategy would be most effective
for this age group?
