CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Application of
Developmental Theory
Stem: A 2-year-old toddler is brought to the pediatric clinic for a
well-child visit. The nurse observes the child actively climbing
onto a chair, saying "No!" when asked to get down, and insisting
on holding a favorite toy throughout the assessment. When
planning family education, the nurse's teaching should be most
influenced by which developmental theorist's expected stage?
, • A. Erikson's Initiative vs. Guilt
• B. Freud's Latency Stage
• C. Piaget's Sensorimotor Stage
• D. Erikson's Autonomy vs. Shame and Doubt
Correct Answer: D
Rationales:
Correct Rationale (Option D): The behaviors described
(asserting independence with "No," motor exploration, holding
onto possessions) are classic hallmarks of Erikson's stage of
Autonomy vs. Shame and Doubt (ages 1-3). Nursing education
should focus on encouraging safe independence and offering
simple choices to foster a sense of autonomy.
Incorrect Rationales: A. Initiative vs. Guilt is typical for
preschoolers (ages 3-6). B. Freud's Latency Stage (ages 6-
puberty) is not developmentally appropriate. C. While toddlers
exhibit late sensorimotor behaviors, Erikson's psychosocial
framework more directly guides behavioral guidance and parent
education.
Teaching Point: For a toddler, nursing care should provide safe
opportunities for choice-making to support Erikson's stage of
Autonomy.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
,Reference: Ch. 1 — Development — Clinical Judgment and
Prioritization
Stem: The nurse is caring for four patients on a medical-surgical
unit. Which patient's assessment finding requires the most
immediate nursing intervention based on a potential threat to
their developmental task?
• A. A 35-year-old who states, "My job is so stressful since
my promotion last month."
• B. A 78-year-old who says, "I don't see my friends much
since my wife died six months ago."
• C. A 16-year-old post-appendectomy who has refused the
last two doses of prescribed analgesic medication.
• D. A 5-year-old scheduled for a tonsillectomy who is crying
and clinging to a parent.
Correct Answer: B
Rationales:
Correct Rationale (Option B): This finding suggests a significant
risk to Erikson's developmental task of Integrity vs. Despair.
Social isolation following a major loss can lead to despair,
depression, and failure to achieve ego integrity. This requires
immediate psychosocial intervention.
Incorrect Rationales: A. Stress from a promotion relates to
Generativity but is not an immediate safety threat. C. While
concerning, refusal of pain medication in an adolescent requires
investigation but is not the top priority. D. Separation anxiety in
, a preschooler is expected and managed with routine
preoperative preparation.
Teaching Point: In older adults, social withdrawal after a loss is
a red flag for despair, requiring prompt nursing action to
support ego integrity.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Nursing Assessment &
Analysis
Stem: A nurse is assessing a 4-month-old infant during a well-
baby visit. The parent reports the baby smiles spontaneously,
follows objects with eyes, holds their head steady when
upright, and brings both hands to the midline. Based on Piaget's
theory of cognitive development, the nurse should document
that the infant is successfully progressing through which
substage?
• A. Use of reflexes (Birth–1 month)
• B. Primary circular reactions (1–4 months)
• C. Secondary circular reactions (4–8 months)
• D. Coordination of secondary schemes (8–12 months)
Correct Answer: B
Rationales:
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Application of
Developmental Theory
Stem: A 2-year-old toddler is brought to the pediatric clinic for a
well-child visit. The nurse observes the child actively climbing
onto a chair, saying "No!" when asked to get down, and insisting
on holding a favorite toy throughout the assessment. When
planning family education, the nurse's teaching should be most
influenced by which developmental theorist's expected stage?
, • A. Erikson's Initiative vs. Guilt
• B. Freud's Latency Stage
• C. Piaget's Sensorimotor Stage
• D. Erikson's Autonomy vs. Shame and Doubt
Correct Answer: D
Rationales:
Correct Rationale (Option D): The behaviors described
(asserting independence with "No," motor exploration, holding
onto possessions) are classic hallmarks of Erikson's stage of
Autonomy vs. Shame and Doubt (ages 1-3). Nursing education
should focus on encouraging safe independence and offering
simple choices to foster a sense of autonomy.
Incorrect Rationales: A. Initiative vs. Guilt is typical for
preschoolers (ages 3-6). B. Freud's Latency Stage (ages 6-
puberty) is not developmentally appropriate. C. While toddlers
exhibit late sensorimotor behaviors, Erikson's psychosocial
framework more directly guides behavioral guidance and parent
education.
Teaching Point: For a toddler, nursing care should provide safe
opportunities for choice-making to support Erikson's stage of
Autonomy.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
,Reference: Ch. 1 — Development — Clinical Judgment and
Prioritization
Stem: The nurse is caring for four patients on a medical-surgical
unit. Which patient's assessment finding requires the most
immediate nursing intervention based on a potential threat to
their developmental task?
• A. A 35-year-old who states, "My job is so stressful since
my promotion last month."
• B. A 78-year-old who says, "I don't see my friends much
since my wife died six months ago."
• C. A 16-year-old post-appendectomy who has refused the
last two doses of prescribed analgesic medication.
• D. A 5-year-old scheduled for a tonsillectomy who is crying
and clinging to a parent.
Correct Answer: B
Rationales:
Correct Rationale (Option B): This finding suggests a significant
risk to Erikson's developmental task of Integrity vs. Despair.
Social isolation following a major loss can lead to despair,
depression, and failure to achieve ego integrity. This requires
immediate psychosocial intervention.
Incorrect Rationales: A. Stress from a promotion relates to
Generativity but is not an immediate safety threat. C. While
concerning, refusal of pain medication in an adolescent requires
investigation but is not the top priority. D. Separation anxiety in
, a preschooler is expected and managed with routine
preoperative preparation.
Teaching Point: In older adults, social withdrawal after a loss is
a red flag for despair, requiring prompt nursing action to
support ego integrity.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Nursing Assessment &
Analysis
Stem: A nurse is assessing a 4-month-old infant during a well-
baby visit. The parent reports the baby smiles spontaneously,
follows objects with eyes, holds their head steady when
upright, and brings both hands to the midline. Based on Piaget's
theory of cognitive development, the nurse should document
that the infant is successfully progressing through which
substage?
• A. Use of reflexes (Birth–1 month)
• B. Primary circular reactions (1–4 months)
• C. Secondary circular reactions (4–8 months)
• D. Coordination of secondary schemes (8–12 months)
Correct Answer: B
Rationales:
