CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Attributes & Theoretical
Links
Stem: A nurse is planning care for a 4-year-old child hospitalized
for pneumonia. The child's parent reports the child has been
crying for a favorite toy left at home and is refusing to
cooperate with respiratory treatments. Which developmental
task, according to Erikson's theory, is most central to the child's
current behavior and should guide the nurse's interventions?
,Options:
A) Autonomy vs. Shame and Doubt
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Trust vs. Mistrust
Correct Answer: B
Rationales:
• Correct (B): The preschool-aged child (3-6 years) is in
Erikson's "Initiative vs. Guilt" stage. Hospitalization disrupts
their sense of control and initiative. Interventions should
support autonomy in safe ways (e.g., offering limited
choices for treatment) to minimize feelings of guilt and
powerlessness.
• Incorrect (A): Autonomy vs. Shame and Doubt is central to
toddlers (1-3 years), who are focused on gaining self-
control and independence.
• Incorrect (C): Industry vs. Inferiority is the developmental
task of school-aged children (6-12 years), who are focused
on mastering skills and competencies.
• Incorrect (D): Trust vs. Mistrust is the task of infancy (0-1
year), where consistent caregiving is crucial.
Teaching Point: For a preschooler, support initiative by
offering simple, safe choices to foster cooperation and
reduce guilt.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
,Question 2
Reference: Ch. 1 — Development — Context to Nursing
Stem: A community health nurse is conducting a home visit for
a new mother and her 2-week-old infant. The mother expresses
frustration, stating, "She just cries and I don't know what she
wants. I feel like I'm failing." Which nursing response best
integrates an understanding of infant development and family-
centered care?
Options:
A) "All newborns cry. You will get used to it as she gets older."
B) "Let's review the different types of cries and what they might
mean. Your ability to notice her cues is the first step in learning
to respond."
C) "You should schedule an appointment with the pediatrician
to rule out colic."
D) "It's important to let her cry it out sometimes so she learns
to self-soothe."
Correct Answer: B
Rationales:
• Correct (B): This response validates the mother's concern,
provides education on infant cues (a key developmental
attribute), and empowers her in her caregiving role,
aligning with family-centered care.
• Incorrect (A): This dismisses the mother's feelings and
does not provide supportive education or intervention.
, • Incorrect (C): This inappropriately medicalizes a normal
developmental challenge without first assessing and
supporting the mother-infant interaction.
• Incorrect (D): This advice is developmentally inappropriate
for a 2-week-old, who relies entirely on caregivers for
regulation and comfort.
Teaching Point: Supporting a caregiver's ability to interpret
infant cues promotes secure attachment, a key
developmental milestone.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Scope & Interrelated
Concepts
Stem: An older adult client with chronic obstructive pulmonary
disease (COPD) states, "I used to volunteer at the library, but
I'm too short of breath now. I don't contribute to anything
anymore." This statement best reflects a challenge in which
interrelated concept?
Options:
A) Family Dynamics
B) Functional Ability
C) Adherence
D) Self-Efficacy
Correct Answer: D
Rationales:
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Attributes & Theoretical
Links
Stem: A nurse is planning care for a 4-year-old child hospitalized
for pneumonia. The child's parent reports the child has been
crying for a favorite toy left at home and is refusing to
cooperate with respiratory treatments. Which developmental
task, according to Erikson's theory, is most central to the child's
current behavior and should guide the nurse's interventions?
,Options:
A) Autonomy vs. Shame and Doubt
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Trust vs. Mistrust
Correct Answer: B
Rationales:
• Correct (B): The preschool-aged child (3-6 years) is in
Erikson's "Initiative vs. Guilt" stage. Hospitalization disrupts
their sense of control and initiative. Interventions should
support autonomy in safe ways (e.g., offering limited
choices for treatment) to minimize feelings of guilt and
powerlessness.
• Incorrect (A): Autonomy vs. Shame and Doubt is central to
toddlers (1-3 years), who are focused on gaining self-
control and independence.
• Incorrect (C): Industry vs. Inferiority is the developmental
task of school-aged children (6-12 years), who are focused
on mastering skills and competencies.
• Incorrect (D): Trust vs. Mistrust is the task of infancy (0-1
year), where consistent caregiving is crucial.
Teaching Point: For a preschooler, support initiative by
offering simple, safe choices to foster cooperation and
reduce guilt.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
,Question 2
Reference: Ch. 1 — Development — Context to Nursing
Stem: A community health nurse is conducting a home visit for
a new mother and her 2-week-old infant. The mother expresses
frustration, stating, "She just cries and I don't know what she
wants. I feel like I'm failing." Which nursing response best
integrates an understanding of infant development and family-
centered care?
Options:
A) "All newborns cry. You will get used to it as she gets older."
B) "Let's review the different types of cries and what they might
mean. Your ability to notice her cues is the first step in learning
to respond."
C) "You should schedule an appointment with the pediatrician
to rule out colic."
D) "It's important to let her cry it out sometimes so she learns
to self-soothe."
Correct Answer: B
Rationales:
• Correct (B): This response validates the mother's concern,
provides education on infant cues (a key developmental
attribute), and empowers her in her caregiving role,
aligning with family-centered care.
• Incorrect (A): This dismisses the mother's feelings and
does not provide supportive education or intervention.
, • Incorrect (C): This inappropriately medicalizes a normal
developmental challenge without first assessing and
supporting the mother-infant interaction.
• Incorrect (D): This advice is developmentally inappropriate
for a 2-week-old, who relies entirely on caregivers for
regulation and comfort.
Teaching Point: Supporting a caregiver's ability to interpret
infant cues promotes secure attachment, a key
developmental milestone.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Scope & Interrelated
Concepts
Stem: An older adult client with chronic obstructive pulmonary
disease (COPD) states, "I used to volunteer at the library, but
I'm too short of breath now. I don't contribute to anything
anymore." This statement best reflects a challenge in which
interrelated concept?
Options:
A) Family Dynamics
B) Functional Ability
C) Adherence
D) Self-Efficacy
Correct Answer: D
Rationales:
