Erickson defines their psychosocial stage as identity and role confusion. At this stage, the child reviews previous steps in his quest for identity. According to Edelman, “they prefer to behave shamelessly in the eyes of their parents rather than be forced into behavior that would cause them to be ridiculed by their peers” (Lee, 2014). Due to these factors, they communicate by talking in depth about themselves and their relationships with others (Gable, 2014). They want to understand who they are becoming and what others think and feel about them. To communicate effectively with this age group, they need to be treated more like adults than children. Their privacy must be respected at all times. Information should be provided to them when they request it and they should be allowed to make decisions about their health care as long as it is consistent with their guardian's choices. Since they are unsure of themselves, a nurse should use problem solving to help them make choices (Potter and Perry).,