Concepts for Nursing Practice Elsevier
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
SECTION I: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Concept: Development
1. A nurse is assessing a 4-year-old child during a well-child
visit. Which observation best reflects achievement of the
developmental attribute of initiative as described in the
concept of Development?
, A. The child prefers parallel play and avoids group
interaction.
B. The child engages in imaginative play and initiates
activities independently.
C. The child consistently seeks adult approval before
attempting tasks.
D. The child demonstrates anxiety when separated from
parents.
Correct Answer: B
Concept-Based Rationale:
Preschool-age children demonstrate initiative through
imaginative play, exploration, and independent activity
initiation. Initiative reflects psychosocial progression
characterized by self-directed engagement and role
experimentation.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, preschool developmental attributes.
Concept: Development
Exemplar: Preschool Child
Cognitive Level: Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development (Initiative)
────────────────────────
, 2. A nurse is evaluating a hospitalized adolescent’s
developmental progress. Which behavior best reflects
identity formation?
A. Seeking consistent routines from caregivers
B. Expressing concern about peer acceptance and personal
values
C. Preferring solitary play activities
D. Demonstrating object permanence
Correct Answer: B
Concept-Based Rationale:
Adolescents focus on identity development, including personal
values, peer relationships, and self-concept formation. Concern
about peer acceptance and self-definition reflects this
developmental attribute.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, adolescent developmental attributes.
Concept: Development
Exemplar: Adolescent
Cognitive Level: Application
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development (Identity)
────────────────────────
3. A nurse assesses a 10-month-old infant. Which finding
indicates appropriate cognitive development?
, A. Uses two-word sentences
B. Demonstrates object permanence
C. Identifies left from right
D. Engages in cooperative play
Correct Answer: B
Concept-Based Rationale:
Object permanence is a key cognitive milestone in late infancy,
reflecting sensorimotor cognitive progression.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, infancy cognitive attributes.
Concept: Development
Exemplar: Infant
Cognitive Level: Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
────────────────────────
4. A nurse is planning care for a hospitalized toddler. Which
intervention best supports the developmental attribute of
autonomy?
A. Provide structured lectures about illness
B. Allow the child to choose between two acceptable
options
C. Encourage competitive group activities
D. Limit mobility to ensure safety
eBook on VitalSource, 4th Edition
by Jean Foret Giddens, PhD, RN, FAAN,
ANEF
Elsevier
TEST BANK
SECTION I: Health Care Recipient Concepts
Theme: Attributes, Resources, and Preferences
Concept: Development
1. A nurse is assessing a 4-year-old child during a well-child
visit. Which observation best reflects achievement of the
developmental attribute of initiative as described in the
concept of Development?
, A. The child prefers parallel play and avoids group
interaction.
B. The child engages in imaginative play and initiates
activities independently.
C. The child consistently seeks adult approval before
attempting tasks.
D. The child demonstrates anxiety when separated from
parents.
Correct Answer: B
Concept-Based Rationale:
Preschool-age children demonstrate initiative through
imaginative play, exploration, and independent activity
initiation. Initiative reflects psychosocial progression
characterized by self-directed engagement and role
experimentation.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, preschool developmental attributes.
Concept: Development
Exemplar: Preschool Child
Cognitive Level: Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development (Initiative)
────────────────────────
, 2. A nurse is evaluating a hospitalized adolescent’s
developmental progress. Which behavior best reflects
identity formation?
A. Seeking consistent routines from caregivers
B. Expressing concern about peer acceptance and personal
values
C. Preferring solitary play activities
D. Demonstrating object permanence
Correct Answer: B
Concept-Based Rationale:
Adolescents focus on identity development, including personal
values, peer relationships, and self-concept formation. Concern
about peer acceptance and self-definition reflects this
developmental attribute.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, adolescent developmental attributes.
Concept: Development
Exemplar: Adolescent
Cognitive Level: Application
Clinical Judgment Domain: Analyzing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Psychosocial Development (Identity)
────────────────────────
3. A nurse assesses a 10-month-old infant. Which finding
indicates appropriate cognitive development?
, A. Uses two-word sentences
B. Demonstrates object permanence
C. Identifies left from right
D. Engages in cooperative play
Correct Answer: B
Concept-Based Rationale:
Object permanence is a key cognitive milestone in late infancy,
reflecting sensorimotor cognitive progression.
Text Citation: Giddens, Concepts for Nursing Practice, 4th ed.,
Development Concept, infancy cognitive attributes.
Concept: Development
Exemplar: Infant
Cognitive Level: Application
Clinical Judgment Domain: Recognizing Cues
Difficulty Estimate: Moderate
Primary Attribute Tested: Cognitive Development
────────────────────────
4. A nurse is planning care for a hospitalized toddler. Which
intervention best supports the developmental attribute of
autonomy?
A. Provide structured lectures about illness
B. Allow the child to choose between two acceptable
options
C. Encourage competitive group activities
D. Limit mobility to ensure safety
