CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Infant Assessment &
Clinical Judgment
NCLEX-Level Question Stem: A nurse is assessing a 9-month-old
infant during a well-child visit. The parent reports the infant is
"always exploring" and has started to cry when held by
unfamiliar relatives. The nurse observes the infant sitting
without support, transferring a toy from one hand to the other,
and saying "mama" and "dada" nonspecifically. Which
,developmental finding should the nurse identify as needing
further follow-up?
Options:
A. Stranger anxiety when held by unfamiliar people.
B. Ability to sit steadily without support.
C. Using a crude pincer grasp to pick up a small cracker.
D. Babbling consonant sounds like "mama" and "dada."
Correct Answer: C
Rationales:
• Correct Option (C): A crude pincer grasp (using fingers and
thumb to pick up a small object) is a fine motor milestone
typically expected around 9-12 months. Its absence at 9
months, while other milestones are present, is a subtle
finding that warrants monitoring and further assessment
to rule out developmental delays.
• Incorrect Option (A): Stranger anxiety is a normal social-
emotional milestone beginning around 6-8 months,
indicating healthy attachment.
• Incorrect Option (B): Sitting without support is a gross
motor milestone typically achieved between 6-8 months,
making this finding appropriate for a 9-month-old.
• Incorrect Option (D): Babbling consonant sounds is a
normal language development milestone for this age.
,Teaching Point: Use standardized developmental screening
tools (e.g., ASQ-3) to objectively identify subtle delays in
milestone achievement.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Adolescent Health
Promotion
NCLEX-Level Question Stem: A 16-year-old adolescent is seen in
the clinic for a sports physical. The adolescent is in the 75th
percentile for height and weight and is on the school's varsity
soccer team. When discussing health promotion, the
adolescent expresses frustration over persistent facial acne.
Which response by the nurse best supports the adolescent's
developmental stage?
Options:
A. "Let's focus on your athletic performance; acne is a minor
issue that will resolve on its own."
B. "I can refer you to a dermatologist. Can we also take a few
minutes to discuss how you are managing stress and sleep?"
C. "Your primary concern should be maintaining a healthy
weight for optimal soccer performance."
D. "Acne is common. Just wash your face more often and avoid
greasy foods."
, Correct Answer: B
Rationales:
• Correct Option (B): This response addresses the patient's
stated concern (acne) with a legitimate intervention
(referral) while also engaging in health promotion relevant
to adolescence (stress and sleep management). It respects
the adolescent's autonomy and fosters a therapeutic
alliance.
• Incorrect Option (A): Dismisses the patient's concern,
which is paramount to them, and fails to provide education
or support.
• Incorrect Option (C): Shifts focus away from the patient's
expressed concern to the nurse's agenda, which is not
patient-centered.
• Incorrect Option (D): Offers oversimplified and potentially
inaccurate advice, failing to provide evidence-based
information or explore contributing factors.
Teaching Point: In adolescence, address stated concerns first to
build trust, then integrate broader health promotion topics.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Infant Assessment &
Clinical Judgment
NCLEX-Level Question Stem: A nurse is assessing a 9-month-old
infant during a well-child visit. The parent reports the infant is
"always exploring" and has started to cry when held by
unfamiliar relatives. The nurse observes the infant sitting
without support, transferring a toy from one hand to the other,
and saying "mama" and "dada" nonspecifically. Which
,developmental finding should the nurse identify as needing
further follow-up?
Options:
A. Stranger anxiety when held by unfamiliar people.
B. Ability to sit steadily without support.
C. Using a crude pincer grasp to pick up a small cracker.
D. Babbling consonant sounds like "mama" and "dada."
Correct Answer: C
Rationales:
• Correct Option (C): A crude pincer grasp (using fingers and
thumb to pick up a small object) is a fine motor milestone
typically expected around 9-12 months. Its absence at 9
months, while other milestones are present, is a subtle
finding that warrants monitoring and further assessment
to rule out developmental delays.
• Incorrect Option (A): Stranger anxiety is a normal social-
emotional milestone beginning around 6-8 months,
indicating healthy attachment.
• Incorrect Option (B): Sitting without support is a gross
motor milestone typically achieved between 6-8 months,
making this finding appropriate for a 9-month-old.
• Incorrect Option (D): Babbling consonant sounds is a
normal language development milestone for this age.
,Teaching Point: Use standardized developmental screening
tools (e.g., ASQ-3) to objectively identify subtle delays in
milestone achievement.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Adolescent Health
Promotion
NCLEX-Level Question Stem: A 16-year-old adolescent is seen in
the clinic for a sports physical. The adolescent is in the 75th
percentile for height and weight and is on the school's varsity
soccer team. When discussing health promotion, the
adolescent expresses frustration over persistent facial acne.
Which response by the nurse best supports the adolescent's
developmental stage?
Options:
A. "Let's focus on your athletic performance; acne is a minor
issue that will resolve on its own."
B. "I can refer you to a dermatologist. Can we also take a few
minutes to discuss how you are managing stress and sleep?"
C. "Your primary concern should be maintaining a healthy
weight for optimal soccer performance."
D. "Acne is common. Just wash your face more often and avoid
greasy foods."
, Correct Answer: B
Rationales:
• Correct Option (B): This response addresses the patient's
stated concern (acne) with a legitimate intervention
(referral) while also engaging in health promotion relevant
to adolescence (stress and sleep management). It respects
the adolescent's autonomy and fosters a therapeutic
alliance.
• Incorrect Option (A): Dismisses the patient's concern,
which is paramount to them, and fails to provide education
or support.
• Incorrect Option (C): Shifts focus away from the patient's
expressed concern to the nurse's agenda, which is not
patient-centered.
• Incorrect Option (D): Offers oversimplified and potentially
inaccurate advice, failing to provide evidence-based
information or explore contributing factors.
Teaching Point: In adolescence, address stated concerns first to
build trust, then integrate broader health promotion topics.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
