A nurse assesses a patient diagnosed with pedophilic disorder. ...

[cdr_15]

A nurse assesses a patient diagnosed with pedophilic disorder. Which findings are most likely? Select all that apply.
 
  a. Childhood history of attention deficit hyperactivity disorder (ADHD)
  b. A poorly managed endocrine disorder
  c. History of brain injury
  d. Cognitive distortions
  e. Grandiosity

Question 2

A 10-year-old boy is diagnosed with gender dysphoria. Which assessment finding would the nurse expect?
 
  a. Having tea parties with dolls
  b. A compromised sexual response cycle
  c. Identifying with boys who are athletic
  d. Intense urges to watch his parents have sex

[babybsemail]

Answer to Question 1

ANS: A, C, D
Attention deficit hyperactivity disorder (ADHD) in childhood, substance abuse, phobic disorders, and major depression/dysthymia are strongly associated with paraphilic disorders. Errors in thought make it seem acceptable for deviant and destructive sexual behaviors to occur. Patients who have experienced head trauma with damage to the frontal lobe of the brain may display symptoms of promiscuity, poor judgment, inability to recognize triggers that set off sexual desires, and poor impulse control. Endocrine problems are not associated with pedophilic disorder. Self-confidence is lacking; therefore, grandiosity would not be expected.

Answer to Question 2

ANS: A
An individual with gender dysphoria feels at odds with the roles associated with that gender. A child with this diagnosis is likely to engage in play associated with the opposite gender. The other options are not age appropriate or characteristically seen in children with gender dysphoria.