Which question would enable the nurse to assess for cognitive distortions during an inter-view with a patient diagnosed as having pedophilia?
a. "Is there a family history of sexual dysfunction?"
b. "Were you sexually abused as a child or adolescent?"
c. "How do you think the child felt being your sexual partner?"
d. "Will you be willing to take medication to treat your disorder?"
ANS: C
If the patient does not respond with a statement showing empathy for the child, cognitive distortion is present. Similarly, if the patient uses denial or rationalization as he or she dis-cusses the disorder, the nurse can assess the presence of cognitive disorder. The other op-tions, although valid questions, do not assess for cognitive distortion.
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