Question

A nurse is working with a client diagnosed with pedophilia. Which client outcome is appropriate for the nurse to expect during the first week of hospitalization?

A. The client will verbalize an understanding of the importance of follow-up care.
B. The client will implement several relapse-prevention strategies.
C. The client will identify triggers that lead to inappropriate behaviors.
D. The client will attend aversion therapy groups.

Answer 1

In the first week of hospitalization, the most appropriate outcome to expect for a client diagnosed with pedophilia is that they will identify triggers leading to inappropriate behaviors option (c).

Step-by-step explanation:

When working with a client diagnosed with pedophilia during the first week of hospitalization, an appropriate client outcome to expect is that the client will identify triggers that lead to inappropriate behaviors. This initial step is crucial for the development of an effective treatment plan.

Outcomes involving the implementation of relapse-prevention strategies or attendance at aversion therapy groups may be too advanced for the first week and more likely to be goals for later in treatment. Furthermore, verbalizing an understanding of the importance of follow-up care is important, but understanding triggers is more immediately relevant to preventing imminent risk.

Regarding patient privacy with minors, there is a balance to be found between adolescent autonomy and parental rights. The healthcare provider must navigate confidentiality issues carefully, respecting the adolescent's wish for privacy while also considering the parents' right to be informed, especially when the health or safety of the adolescent is at substantial risk.

Physicians should be familiar with the laws in their region regarding adolescent confidentiality and should handle notifying sexual partners with sensitivity and following laws concerning disclosure of sexually transmitted infections (STIs).