A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?

A. Individuals with borderline personality disorder (BPD) often experience intense and unstable emotions, impulsivity, and difficulties in regulating their emotions and behaviors. As a result, transitions, such as being discharged from the hospital, can be particularly challenging and may increase the risk of self-harm or suicidal behavior.

B. While dialectical behavior therapy (DBT) is an evidence-based treatment for BPD and focuses on teaching coping skills to manage emotions and reduce self-harming behaviors, attending therapy sessions may actually decrease the risk of self-harm for individuals actively participating in treatment.

C. Narrative therapy is another therapeutic approach that focuses on helping individuals reframe their life stories and experiences. While narrative therapy may be beneficial for some aspects of BPD treatment, it may not specifically address the immediate risk factors for self-harm.

D. Getting married may be a significant life event that brings about both positive and negative emotions, but it does not inherently indicate the highest risk for self-harm in individuals with BPD.

B Illness anxiety disorder (formerly known as hypochondriasis) is a mental health condition characterized by excessive worry or fear about having a serious illness, despite having little or no medical evidence to support the presence of the illness.

A. The focus in somatic symptom disorder is on the physical symptoms themselves rather than the fear of having a serious illness.

C. Individuals with factitious disorder may feign symptoms, manipulate test results, or induce illness in themselves to gain attention or care from healthcare providers.

D. The primary characteristic of functional neurological symptom disorder is the presence of neurological symptoms rather than excessive fear of illness or body checking behaviors.