CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is performing a routine developmental
assessment on a 6-month-old infant during a well-child visit.
The parent reports the infant smiles socially and can roll from
back to stomach. The nurse observes the infant sitting with
support but not reaching for a toy placed just out of reach.
Which finding should the nurse identify as needing further
,investigation?
Options:
A. Social smiling
B. Rolling from back to stomach
C. Sitting with support
D. Not reaching for a toy
Correct Answer: D
Rationales:
• Correct (D): By 6 months, an infant should be able to reach
for and grasp objects. Failure to reach for a visible object
may indicate a delay in fine motor or visual-motor
integration, warranting further developmental screening.
• Incorrect (A): Social smiling is a 2-month milestone; its
presence at 6 months is appropriate.
• Incorrect (B): Rolling from back to stomach is a typical 6-
month gross motor milestone.
• Incorrect (C): Sitting with support is an expected 6-month
milestone; sitting without support develops around 8
months.
Teaching Point: Use validated developmental screening tools at
well-child visits to objectively assess milestones and identify
delays early.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
,Question 2
Reference: Ch. 1 — Development — Psychosocial Theory
Application
Stem: A nurse is caring for a 4-year-old child hospitalized for
asthma exacerbation. The child’s parent must leave for work,
and the child begins to cry, "Don’t go! I was bad!" and throws a
stuffed animal. Based on Erikson’s theory, which nursing
response best addresses the child’s developmental crisis?
Options:
A. “It’s okay to be mad, but we don’t throw toys. Let’s do a
breathing treatment.”
B. “Your mommy has to go to work, but she will be back after
your nap. You are not bad.”
C. “If you are good and don’t cry, I will give you a sticker when
your mom leaves.”
D. “Let’s close the door so you can’t see her leave, and I’ll read
you a story.”
Correct Answer: B
Rationales:
• Correct (B): This addresses the core conflict of Initiative vs.
Guilt. The child interprets the parent’s departure as
punishment for misbehavior (guilt). Reassuring the child
they are not “bad” and providing a concrete timeframe for
the parent’s return supports resolution of this crisis.
, • Incorrect (A): Sets a limit but does not address the child’s
underlying feeling of guilt.
• Incorrect (C): Uses a bribe and fails to address the
developmental/emotional concern.
• Incorrect (D): Avoids the crisis and does not help the child
understand the separation.
Teaching Point: In the Initiative vs. Guilt stage, help children
understand that actions and consequences are separate from
their self-worth.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Adolescent Health & Risk
Stem: A 16-year-old patient in the school-based health clinic
confides to the nurse, “My friends all vape, and they say it’s no
big deal. I don’t want to look uncool.” Which response by the
nurse best aligns with adolescent developmental tasks and
effective health teaching?
Options:
A. “Vaping is illegal for minors and can cause permanent lung
damage. You should just say no.”
B. “Let’s talk about the short-term effects, like how it can stain
your teeth and make your clothes smell. What matters to you
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Nursing Assessment &
Clinical Judgment
Stem: A nurse is performing a routine developmental
assessment on a 6-month-old infant during a well-child visit.
The parent reports the infant smiles socially and can roll from
back to stomach. The nurse observes the infant sitting with
support but not reaching for a toy placed just out of reach.
Which finding should the nurse identify as needing further
,investigation?
Options:
A. Social smiling
B. Rolling from back to stomach
C. Sitting with support
D. Not reaching for a toy
Correct Answer: D
Rationales:
• Correct (D): By 6 months, an infant should be able to reach
for and grasp objects. Failure to reach for a visible object
may indicate a delay in fine motor or visual-motor
integration, warranting further developmental screening.
• Incorrect (A): Social smiling is a 2-month milestone; its
presence at 6 months is appropriate.
• Incorrect (B): Rolling from back to stomach is a typical 6-
month gross motor milestone.
• Incorrect (C): Sitting with support is an expected 6-month
milestone; sitting without support develops around 8
months.
Teaching Point: Use validated developmental screening tools at
well-child visits to objectively assess milestones and identify
delays early.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
,Question 2
Reference: Ch. 1 — Development — Psychosocial Theory
Application
Stem: A nurse is caring for a 4-year-old child hospitalized for
asthma exacerbation. The child’s parent must leave for work,
and the child begins to cry, "Don’t go! I was bad!" and throws a
stuffed animal. Based on Erikson’s theory, which nursing
response best addresses the child’s developmental crisis?
Options:
A. “It’s okay to be mad, but we don’t throw toys. Let’s do a
breathing treatment.”
B. “Your mommy has to go to work, but she will be back after
your nap. You are not bad.”
C. “If you are good and don’t cry, I will give you a sticker when
your mom leaves.”
D. “Let’s close the door so you can’t see her leave, and I’ll read
you a story.”
Correct Answer: B
Rationales:
• Correct (B): This addresses the core conflict of Initiative vs.
Guilt. The child interprets the parent’s departure as
punishment for misbehavior (guilt). Reassuring the child
they are not “bad” and providing a concrete timeframe for
the parent’s return supports resolution of this crisis.
, • Incorrect (A): Sets a limit but does not address the child’s
underlying feeling of guilt.
• Incorrect (C): Uses a bribe and fails to address the
developmental/emotional concern.
• Incorrect (D): Avoids the crisis and does not help the child
understand the separation.
Teaching Point: In the Initiative vs. Guilt stage, help children
understand that actions and consequences are separate from
their self-worth.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Adolescent Health & Risk
Stem: A 16-year-old patient in the school-based health clinic
confides to the nurse, “My friends all vape, and they say it’s no
big deal. I don’t want to look uncool.” Which response by the
nurse best aligns with adolescent developmental tasks and
effective health teaching?
Options:
A. “Vaping is illegal for minors and can cause permanent lung
damage. You should just say no.”
B. “Let’s talk about the short-term effects, like how it can stain
your teeth and make your clothes smell. What matters to you
