The nurse is caring for children on an adolescent-only unit. What growth and development milestones should the nurse expect from 11- and 14-year-old adolescents? (Select all that apply.)
a. Self-centered with increased narcissism
b. No major conflicts with parents
c. Established abstract thought process
d. Have a rich, idealistic fantasy life
e. Highly value conformity to group norms
f. Secondary sexual characteristics appear
ANS: B, E, F
Growth and development milestones in the 11- to 14-year-old age group include minimal conflicts with parents (compared with the 15- to 17-year-old age group), a high value placed on conformity to the norm, and the appearance of secondary sexual characteristics. Self-centeredness and narcissism are seen in the 15- to 17-year-old age group along with a rich and idealistic fantasy life. Abstract thought processes are not well established until the 18- to 20-year-old age group.
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