CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Theoretical Links & Clinical
Judgment
Stem: A nurse is planning care for a 16-year-old patient
admitted with newly diagnosed Type 1 diabetes. The patient is
withdrawn, refuses to discuss the diagnosis with his parents,
and states, "I just want to be normal and hang out with my
friends." Which developmental task, according to Erikson's
theory, should be the nurse's primary focus when providing
,education and support?
Options:
A. Identity vs. Role Confusion
B. Industry vs. Inferiority
C. Intimacy vs. Isolation
D. Autonomy vs. Shame and Doubt
Correct Answer: A
Rationales:
• Correct (A): Erikson's stage for adolescence (12-18 years) is
Identity vs. Role Confusion. The patient's desire for
normalcy with peers and separation from parents are
classic indicators. Nursing interventions should support the
adolescent in integrating the diagnosis into their evolving
self-concept, promoting independence in management
while providing guidance.
• Incorrect (B): Industry vs. Inferiority is the school-aged
child's stage (6-11 years), focused on mastering skills and
receiving recognition from authorities, not peer group
integration.
• Incorrect (C): Intimacy vs. Isolation is the young adult
stage, focused on forming committed relationships, which
is not the primary concern for this 16-year-old.
• Incorrect (D): Autonomy vs. Shame and Doubt is the
toddler stage (1-3 years), centered on gaining self-control
and independence in basic activities.
Teaching Point: In adolescence, prioritize interventions
, that foster identity formation and peer acceptance while
managing health conditions.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Attributes and Clinical
Exemplars
Stem: A nurse is assessing a 4-month-old infant during a well-
child visit. The parent reports the infant smiles spontaneously
and enjoys playing peek-a-boo. The nurse observes the infant
can briefly hold a rattle and brings hands to midline. Which
statement by the nurse best integrates expected developmental
milestones?
Options:
A. "Your baby is showing expected social and fine motor skills
for this age."
B. "Your baby's social skills are advanced, but the fine motor
skills are delayed."
C. "Your baby's fine motor skills are on track, but the social
smiling is delayed."
D. "Your baby should be rolling over by now; let's discuss
tummy time."
Correct Answer: A
Rationales:
• Correct (A): Social smiling (2-4 months), playing peek-a-
boo (enjoyment indicates early social reciprocity), holding
, a rattle briefly (3-4 months), and hands to midline (3-4
months) are all expected for a 4-month-old.
• Incorrect (B): The described skills are not advanced; they
are age-appropriate. There is no indication of delay.
• Incorrect (C): Social smiling is expected by 2-4 months, so
it is not delayed.
• Incorrect (D): Rolling over typically begins at 4-6 months,
so it is not an immediate expectation at 4 months. The
assessment data provided does not indicate a delay.
Teaching Point: Cluster assessment findings to evaluate
holistic development rather than isolating single
milestones.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Context to Nursing and
Health Care
Stem: A nurse is planning discharge teaching for a 78-year-old
patient with heart failure who lives alone. The patient has mild
presbycusis and wears glasses for reading. Which action by the
nurse best applies principles of adult development to ensure
effective learning?
Options:
A. Provide detailed written pamphlets for the patient to review
at home.
B. Sit facing the patient in a well-lit room, speaking clearly at a
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Theoretical Links & Clinical
Judgment
Stem: A nurse is planning care for a 16-year-old patient
admitted with newly diagnosed Type 1 diabetes. The patient is
withdrawn, refuses to discuss the diagnosis with his parents,
and states, "I just want to be normal and hang out with my
friends." Which developmental task, according to Erikson's
theory, should be the nurse's primary focus when providing
,education and support?
Options:
A. Identity vs. Role Confusion
B. Industry vs. Inferiority
C. Intimacy vs. Isolation
D. Autonomy vs. Shame and Doubt
Correct Answer: A
Rationales:
• Correct (A): Erikson's stage for adolescence (12-18 years) is
Identity vs. Role Confusion. The patient's desire for
normalcy with peers and separation from parents are
classic indicators. Nursing interventions should support the
adolescent in integrating the diagnosis into their evolving
self-concept, promoting independence in management
while providing guidance.
• Incorrect (B): Industry vs. Inferiority is the school-aged
child's stage (6-11 years), focused on mastering skills and
receiving recognition from authorities, not peer group
integration.
• Incorrect (C): Intimacy vs. Isolation is the young adult
stage, focused on forming committed relationships, which
is not the primary concern for this 16-year-old.
• Incorrect (D): Autonomy vs. Shame and Doubt is the
toddler stage (1-3 years), centered on gaining self-control
and independence in basic activities.
Teaching Point: In adolescence, prioritize interventions
, that foster identity formation and peer acceptance while
managing health conditions.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Attributes and Clinical
Exemplars
Stem: A nurse is assessing a 4-month-old infant during a well-
child visit. The parent reports the infant smiles spontaneously
and enjoys playing peek-a-boo. The nurse observes the infant
can briefly hold a rattle and brings hands to midline. Which
statement by the nurse best integrates expected developmental
milestones?
Options:
A. "Your baby is showing expected social and fine motor skills
for this age."
B. "Your baby's social skills are advanced, but the fine motor
skills are delayed."
C. "Your baby's fine motor skills are on track, but the social
smiling is delayed."
D. "Your baby should be rolling over by now; let's discuss
tummy time."
Correct Answer: A
Rationales:
• Correct (A): Social smiling (2-4 months), playing peek-a-
boo (enjoyment indicates early social reciprocity), holding
, a rattle briefly (3-4 months), and hands to midline (3-4
months) are all expected for a 4-month-old.
• Incorrect (B): The described skills are not advanced; they
are age-appropriate. There is no indication of delay.
• Incorrect (C): Social smiling is expected by 2-4 months, so
it is not delayed.
• Incorrect (D): Rolling over typically begins at 4-6 months,
so it is not an immediate expectation at 4 months. The
assessment data provided does not indicate a delay.
Teaching Point: Cluster assessment findings to evaluate
holistic development rather than isolating single
milestones.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Context to Nursing and
Health Care
Stem: A nurse is planning discharge teaching for a 78-year-old
patient with heart failure who lives alone. The patient has mild
presbycusis and wears glasses for reading. Which action by the
nurse best applies principles of adult development to ensure
effective learning?
Options:
A. Provide detailed written pamphlets for the patient to review
at home.
B. Sit facing the patient in a well-lit room, speaking clearly at a
