A nurse assesses a patient diagnosed with a paraphilic 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

Quizplus · Accepted Answer

ADHD in childhood, substance abuse, phobic disorders, and major depressive disorder/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.

A Nurse Assesses a Patient Diagnosed with a Paraphilic Disorder