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?"
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.
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