CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
1️⃣ Reference
Ch. 1 — Development — Nursing Assessment & Clinical
Judgment
2️⃣ NCLEX-Level Question Stem
A nurse in a pediatric clinic is assessing a 4-year-old child during
a well-visit. The parent reports the child has begun to have
frequent tantrums when asked to share toys with a younger
sibling, which is new behavior. The child successfully builds a
tower of 8 blocks and throws a ball overhand but cannot yet
,hop on one foot. Based on developmental milestones, which
nursing interpretation is most accurate?
3️⃣ Options
A. The child is exhibiting normal psychosocial development for
age, but fine motor skills are delayed.
B. The child's gross motor skills are advanced, but social
behavior indicates possible adjustment disorder.
C. The child's behavior is consistent with expected
developmental autonomy, and motor skills are age-appropriate.
D. The child's tantrums require referral for behavioral therapy,
and motor development should be reassessed in 6 months.
4⃣ Correct Answer
C
5️⃣ Rationales
Correct Option C: A 4-year-old is in Erikson's stage of Initiative
vs. Guilt, where asserting independence and testing boundaries
(e.g., tantrums over sharing) is expected. Building an 8-block
tower and throwing overhand are age-appropriate fine and
gross motor skills; hopping on one foot typically emerges
around age 5. This represents normal development.
Incorrect Option A: Fine motor skills (building tower) are not
delayed for a 4-year-old.
Incorrect Option B: Gross motor skills are within expected
range, and tantrums do not alone indicate adjustment disorder.
,Incorrect Option D: Tantrums alone do not require behavioral
referral; this overlooks normal developmental behavior.
6️⃣ Teaching Point
Initiative vs. Guilt stage includes testing limits; assess
milestones holistically before pathologizing behavior.
7️⃣ Citation
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
2️⃣ Reference
Ch. 1 — Development — Health Promotion Across the Lifespan
2️⃣ NCLEX-Level Question Stem
A nurse is planning a community health seminar for older adults
focusing on successful aging. Based on the concept of
development, which teaching point should the nurse prioritize
to promote ego integrity versus despair (Erikson) in this
population?
3️⃣ Options
A. Encourage participation in low-impact aerobic exercise three
times weekly.
B. Facilitate life-review activities that emphasize meaning and
accomplishment.
C. Teach stress-reduction techniques to manage losses
associated with aging.
, D. Provide information on preventative health screenings and
immunizations.
4⃣ Correct Answer
B
5️⃣ Rationales
Correct Option B: Erikson's stage of Ego Integrity vs. Despair in
older adulthood focuses on reflecting on life with a sense of
fulfillment. Life-review interventions directly support achieving
ego integrity.
Incorrect Option A: Exercise promotes health but does not
directly address the psychosocial crisis of integrity vs. despair.
Incorrect Option C: Managing loss is relevant but is more
aligned with the concept of coping; integrity requires positive
reflection.
Incorrect Option D: Health screenings are important for
physiological health but not the primary intervention for this
developmental stage.
6️⃣ Teaching Point
Ego integrity is achieved through reminiscence and finding
meaning in one’s life story.
7️⃣ Citation
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
1️⃣ Reference
Ch. 1 — Development — Nursing Assessment & Clinical
Judgment
2️⃣ NCLEX-Level Question Stem
A nurse in a pediatric clinic is assessing a 4-year-old child during
a well-visit. The parent reports the child has begun to have
frequent tantrums when asked to share toys with a younger
sibling, which is new behavior. The child successfully builds a
tower of 8 blocks and throws a ball overhand but cannot yet
,hop on one foot. Based on developmental milestones, which
nursing interpretation is most accurate?
3️⃣ Options
A. The child is exhibiting normal psychosocial development for
age, but fine motor skills are delayed.
B. The child's gross motor skills are advanced, but social
behavior indicates possible adjustment disorder.
C. The child's behavior is consistent with expected
developmental autonomy, and motor skills are age-appropriate.
D. The child's tantrums require referral for behavioral therapy,
and motor development should be reassessed in 6 months.
4⃣ Correct Answer
C
5️⃣ Rationales
Correct Option C: A 4-year-old is in Erikson's stage of Initiative
vs. Guilt, where asserting independence and testing boundaries
(e.g., tantrums over sharing) is expected. Building an 8-block
tower and throwing overhand are age-appropriate fine and
gross motor skills; hopping on one foot typically emerges
around age 5. This represents normal development.
Incorrect Option A: Fine motor skills (building tower) are not
delayed for a 4-year-old.
Incorrect Option B: Gross motor skills are within expected
range, and tantrums do not alone indicate adjustment disorder.
,Incorrect Option D: Tantrums alone do not require behavioral
referral; this overlooks normal developmental behavior.
6️⃣ Teaching Point
Initiative vs. Guilt stage includes testing limits; assess
milestones holistically before pathologizing behavior.
7️⃣ Citation
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
2️⃣ Reference
Ch. 1 — Development — Health Promotion Across the Lifespan
2️⃣ NCLEX-Level Question Stem
A nurse is planning a community health seminar for older adults
focusing on successful aging. Based on the concept of
development, which teaching point should the nurse prioritize
to promote ego integrity versus despair (Erikson) in this
population?
3️⃣ Options
A. Encourage participation in low-impact aerobic exercise three
times weekly.
B. Facilitate life-review activities that emphasize meaning and
accomplishment.
C. Teach stress-reduction techniques to manage losses
associated with aging.
, D. Provide information on preventative health screenings and
immunizations.
4⃣ Correct Answer
B
5️⃣ Rationales
Correct Option B: Erikson's stage of Ego Integrity vs. Despair in
older adulthood focuses on reflecting on life with a sense of
fulfillment. Life-review interventions directly support achieving
ego integrity.
Incorrect Option A: Exercise promotes health but does not
directly address the psychosocial crisis of integrity vs. despair.
Incorrect Option C: Managing loss is relevant but is more
aligned with the concept of coping; integrity requires positive
reflection.
Incorrect Option D: Health screenings are important for
physiological health but not the primary intervention for this
developmental stage.
6️⃣ Teaching Point
Ego integrity is achieved through reminiscence and finding
meaning in one’s life story.
7️⃣ Citation
Giddens, J. F. (2025). Concepts for Nursing Practice (4th ed.).
Chapter 1.
