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 a teaching session about infant
nutrition for the parents of a 4-month-old. The parents ask
when they can start feeding their baby solid foods. According to
principles of normal infant development, which response by the
nurse is most appropriate?
,Options:
A. "You can begin with small amounts of iron-fortified rice
cereal mixed with formula now."
B. "Most infants are developmentally ready for pureed foods
between 4 and 6 months of age."
C. "Solid foods should be introduced when the infant's birth
weight has tripled, around 9 months."
D. "Infants should only have breast milk or formula until they
can sit alone, typically around 6 months."
Correct Answer: D
Rationales:
• Correct Option D: The introduction of solid foods is guided
by developmental milestones, not just age. Sitting with
minimal support indicates sufficient head and neck control
and trunk stability to safely handle solid foods and reduces
aspiration risk. This aligns with developmental readiness.
• Incorrect Option A: Introducing cereal at 4 months is not
aligned with developmental readiness indicators and may
increase the risk of overfeeding and aspiration.
• Incorrect Option B: While the age range is correct, the
nurse's response should be based on observable
developmental milestones (like sitting) rather than age
alone, as development varies.
• Incorrect Option C: Tripling birth weight is a growth
parameter, not the primary indicator of developmental
, readiness for solids. Waiting until 9 months is late and may
contribute to nutrient deficiencies.
Teaching Point: Assess for head/neck control and ability to sit
with support before introducing solids to prevent aspiration.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Theoretical Links (Erikson)
Stem: An 18-year-old client hospitalized for a newly diagnosed
chronic illness states, "This isn't fair. My friends are all starting
college, and I'm stuck here. My life is over before it started."
Which developmental task is this client struggling with,
according to Erikson's theory?
Options:
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Intimacy vs. Isolation
D. Initiative vs. Guilt
Correct Answer: B
Rationales:
• Correct Option B: Erikson's stage for adolescence (12-18
years) is Identity vs. Role Confusion. The client's statement
reflects concern about their future role, purpose, and
, place among peers, which is central to this psychosocial
crisis.
• Incorrect Option A: Industry vs. Inferiority is the school-
age child's task focused on competency and achievement.
• Incorrect Option C: Intimacy vs. Isolation is the young
adult's task focused on forming committed relationships.
• Incorrect Option D: Initiative vs. Guilt is the preschooler's
task focused on exploring and taking on new activities.
Teaching Point: In Erikson's theory, adolescence focuses on
forming a stable identity. Illness can disrupt this critical task.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Clinical Exemplars
Stem: During a well-child visit, the nurse observes a 9-month-
old infant who cries intensely when separated from the parent
during the exam and clings to the parent upon reunion. How
should the nurse interpret this behavior?
Options:
A. As a sign of insecure-avoidant attachment requiring a social
work referral.
B. As a normal developmental manifestation of stranger anxiety
and separation anxiety.
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference: Ch. 1 — Development — Attributes & Theoretical
Links
Stem: A nurse is planning a teaching session about infant
nutrition for the parents of a 4-month-old. The parents ask
when they can start feeding their baby solid foods. According to
principles of normal infant development, which response by the
nurse is most appropriate?
,Options:
A. "You can begin with small amounts of iron-fortified rice
cereal mixed with formula now."
B. "Most infants are developmentally ready for pureed foods
between 4 and 6 months of age."
C. "Solid foods should be introduced when the infant's birth
weight has tripled, around 9 months."
D. "Infants should only have breast milk or formula until they
can sit alone, typically around 6 months."
Correct Answer: D
Rationales:
• Correct Option D: The introduction of solid foods is guided
by developmental milestones, not just age. Sitting with
minimal support indicates sufficient head and neck control
and trunk stability to safely handle solid foods and reduces
aspiration risk. This aligns with developmental readiness.
• Incorrect Option A: Introducing cereal at 4 months is not
aligned with developmental readiness indicators and may
increase the risk of overfeeding and aspiration.
• Incorrect Option B: While the age range is correct, the
nurse's response should be based on observable
developmental milestones (like sitting) rather than age
alone, as development varies.
• Incorrect Option C: Tripling birth weight is a growth
parameter, not the primary indicator of developmental
, readiness for solids. Waiting until 9 months is late and may
contribute to nutrient deficiencies.
Teaching Point: Assess for head/neck control and ability to sit
with support before introducing solids to prevent aspiration.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 2
Reference: Ch. 1 — Development — Theoretical Links (Erikson)
Stem: An 18-year-old client hospitalized for a newly diagnosed
chronic illness states, "This isn't fair. My friends are all starting
college, and I'm stuck here. My life is over before it started."
Which developmental task is this client struggling with,
according to Erikson's theory?
Options:
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Intimacy vs. Isolation
D. Initiative vs. Guilt
Correct Answer: B
Rationales:
• Correct Option B: Erikson's stage for adolescence (12-18
years) is Identity vs. Role Confusion. The client's statement
reflects concern about their future role, purpose, and
, place among peers, which is central to this psychosocial
crisis.
• Incorrect Option A: Industry vs. Inferiority is the school-
age child's task focused on competency and achievement.
• Incorrect Option C: Intimacy vs. Isolation is the young
adult's task focused on forming committed relationships.
• Incorrect Option D: Initiative vs. Guilt is the preschooler's
task focused on exploring and taking on new activities.
Teaching Point: In Erikson's theory, adolescence focuses on
forming a stable identity. Illness can disrupt this critical task.
Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter 1.
Question 3
Reference: Ch. 1 — Development — Clinical Exemplars
Stem: During a well-child visit, the nurse observes a 9-month-
old infant who cries intensely when separated from the parent
during the exam and clings to the parent upon reunion. How
should the nurse interpret this behavior?
Options:
A. As a sign of insecure-avoidant attachment requiring a social
work referral.
B. As a normal developmental manifestation of stranger anxiety
and separation anxiety.
