Author Question: Which question would enable the nurse to assess for cognitive distortions during an interview with a ... (Read 26 times)

gbarreiro · **on:** Jul 19, 2018

Which question would enable the nurse to assess for cognitive distortions during an interview with a client diagnosed as having pedophilia?

1. Is there a family history of sexual dysfunction?
2. Were you sexually abused as a child or adolescent?
3. How do you think the child felt as you were having sex?
4. Will you be willing to take medication to treat your disorder?

Question 2

Which finding would the nurse expect to assess in a 17-year-old client who has been diagnosed with Klinefelter's syndrome?

1. Elevated sperm count
2. Decreased secretion of FSH
3. Hyperplasia of penis and scrotum
4. Gynecomastia in a teenage male

todom5090 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 3
If the client does not respond with a statement showing empathy for the child, cognitive distor-tion is present. Similarly, if the client uses denial or rationalization as he or she discusses the dis-order, the nurse can assess the presence of cognitive disorder. The other options, while valid questions, do not assess for cognitive distortion.

Answer to Question 2

ANS: 4
Having enlarged breasts at the time of puberty and thereafter is a characteristic finding in indi-viduals with Klinefelter's syndrome. 1. Aspermatogenesis is an expected finding. 2. FSH level is expected to be low. 3. This is not an expected finding.