CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Assessment & Clinical
Judgment
Stem: A nurse in a pediatric clinic is assessing a 9-month-old
infant during a well-child visit. The parent reports the infant can
sit without support, babbles "mama" and "dada"
nonspecifically, and is beginning to crawl. The nurse observes
the infant has a pincer grasp and shows stranger anxiety. Which
finding should the nurse identify as needing further
,developmental assessment?
Options:
A. Babbling "mama" and "dada" nonspecifically.
B. Sitting without support.
C. Displaying stranger anxiety.
D. Using a pincer grasp.
Correct Answer: A
Rationales:
Correct: At 9 months, an infant should typically babble with
consonant-vowel combinations (like "mama," "dada")
specifically to parents. Nonspecific babbling may be more
typical of a 6-month-old and could indicate a potential delay in
language/social development, warranting further assessment.
Incorrect A: Sitting without support is a expected gross motor
milestone for a 9-month-old.
Incorrect B: Stranger anxiety is a normal psychosocial milestone
beginning around 6-8 months.
Incorrect C: A pincer grasp is a fine motor milestone typically
emerging between 9-12 months.
Teaching Point: Language milestones are key indicators of
cognitive and social development; nonspecific babbling at 9
months requires follow-up.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
,Reference: Ch. 1 — Development — Nursing Care Across the
Lifespan
Stem: A nurse is planning care for a hospitalized 4-year-old
child. Based on Piaget's theory of cognitive development, which
play activity would be most appropriate to include in the plan to
support the child's developmental stage?
Options:
A. Providing a puzzle with 10 large pieces.
B. Encouraging a game of competitive board games with rules.
C. Offering a doll and medical kit for pretend play.
D. Showing a video about how the body fights infection.
Correct Answer: C
Rationales:
Correct: According to Piaget, a 4-year-old is in the
preoperational stage, characterized by symbolic thought and
engage in pretend play, which helps them cope with and
understand experiences like hospitalization.
Incorrect A: Puzzles are appropriate but more aligned with
concrete operational skills (simple puzzles can be used, but
pretend play is more characteristic of preoperational thought).
Incorrect B: Competitive games with rules are characteristic of
the concrete operational stage (age 7-11).
Incorrect D: Abstract explanations (like how the body fights
infection) are beyond preoperational thinking; they are more
suitable for formal operational stages.
Teaching Point: In preoperational stage (2-7 yrs), use
symbolic/pretend play to help children understand and cope
, with healthcare experiences.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Health Promotion &
Education
Stem: A nurse is providing anticipatory guidance to the parents
of a 15-year-old adolescent. Which statement by the parents
indicates an accurate understanding of developmental tasks for
this age group according to Erikson's theory?
Options:
A. "We expect our teen to rely primarily on us for making
important decisions."
B. "We are helping our teen explore different part-time jobs and
volunteer roles."
C. "We discourage our teen from spending too much time with
friends to focus on academics."
D. "We set all household rules without input from our teen to
maintain structure."
Correct Answer: B
Rationales:
Correct: Erikson's stage for adolescence (12-18 yrs) is Identity
vs. Role Confusion. Exploring roles (jobs, volunteering) supports
identity formation, a key developmental task.
Incorrect A: Adolescents should develop increasing autonomy in
decision-making with parental guidance, not primary reliance.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Assessment & Clinical
Judgment
Stem: A nurse in a pediatric clinic is assessing a 9-month-old
infant during a well-child visit. The parent reports the infant can
sit without support, babbles "mama" and "dada"
nonspecifically, and is beginning to crawl. The nurse observes
the infant has a pincer grasp and shows stranger anxiety. Which
finding should the nurse identify as needing further
,developmental assessment?
Options:
A. Babbling "mama" and "dada" nonspecifically.
B. Sitting without support.
C. Displaying stranger anxiety.
D. Using a pincer grasp.
Correct Answer: A
Rationales:
Correct: At 9 months, an infant should typically babble with
consonant-vowel combinations (like "mama," "dada")
specifically to parents. Nonspecific babbling may be more
typical of a 6-month-old and could indicate a potential delay in
language/social development, warranting further assessment.
Incorrect A: Sitting without support is a expected gross motor
milestone for a 9-month-old.
Incorrect B: Stranger anxiety is a normal psychosocial milestone
beginning around 6-8 months.
Incorrect C: A pincer grasp is a fine motor milestone typically
emerging between 9-12 months.
Teaching Point: Language milestones are key indicators of
cognitive and social development; nonspecific babbling at 9
months requires follow-up.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
,Reference: Ch. 1 — Development — Nursing Care Across the
Lifespan
Stem: A nurse is planning care for a hospitalized 4-year-old
child. Based on Piaget's theory of cognitive development, which
play activity would be most appropriate to include in the plan to
support the child's developmental stage?
Options:
A. Providing a puzzle with 10 large pieces.
B. Encouraging a game of competitive board games with rules.
C. Offering a doll and medical kit for pretend play.
D. Showing a video about how the body fights infection.
Correct Answer: C
Rationales:
Correct: According to Piaget, a 4-year-old is in the
preoperational stage, characterized by symbolic thought and
engage in pretend play, which helps them cope with and
understand experiences like hospitalization.
Incorrect A: Puzzles are appropriate but more aligned with
concrete operational skills (simple puzzles can be used, but
pretend play is more characteristic of preoperational thought).
Incorrect B: Competitive games with rules are characteristic of
the concrete operational stage (age 7-11).
Incorrect D: Abstract explanations (like how the body fights
infection) are beyond preoperational thinking; they are more
suitable for formal operational stages.
Teaching Point: In preoperational stage (2-7 yrs), use
symbolic/pretend play to help children understand and cope
, with healthcare experiences.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Health Promotion &
Education
Stem: A nurse is providing anticipatory guidance to the parents
of a 15-year-old adolescent. Which statement by the parents
indicates an accurate understanding of developmental tasks for
this age group according to Erikson's theory?
Options:
A. "We expect our teen to rely primarily on us for making
important decisions."
B. "We are helping our teen explore different part-time jobs and
volunteer roles."
C. "We discourage our teen from spending too much time with
friends to focus on academics."
D. "We set all household rules without input from our teen to
maintain structure."
Correct Answer: B
Rationales:
Correct: Erikson's stage for adolescence (12-18 yrs) is Identity
vs. Role Confusion. Exploring roles (jobs, volunteering) supports
identity formation, a key developmental task.
Incorrect A: Adolescents should develop increasing autonomy in
decision-making with parental guidance, not primary reliance.
