indicate the nurse is addressing the affective domain of learning?

Choice A reason: Weight gain is associated with hypothyroidism, not hyperthyroidism. Hyperthyroidism increases metabolic rate, leading to weight loss due to increased calorie expenditure. The thyroid hormones accelerate metabolism, causing catabolism, which contrasts with the client’s likely symptom of weight loss, not gain, in hyperthyroidism.

Choice B reason: Bradycardia, or slow heart rate, occurs in hypothyroidism due to decreased metabolic rate. Hyperthyroidism causes tachycardia, as elevated thyroid hormones increase sympathetic activity, raising heart rate and cardiac output. The client’s symptoms would likely include a rapid heart rate, not bradycardia, in this condition.

Choice C reason: Heat intolerance is a classic symptom of hyperthyroidism due to increased metabolic rate from elevated thyroid hormones. This causes excessive heat production, leading to sweating and discomfort in warm environments. The symptom aligns with the hypermetabolic state, making it the most likely to be reported.

Choice D reason: Constipation is associated with hypothyroidism, where decreased metabolism slows gastrointestinal motility. Hyperthyroidism increases motility, often causing diarrhea. The client with hyperthyroidism is unlikely to report constipation, as their condition accelerates digestive processes, contrasting with the slowed motility seen in hypothyroidism.

Choice A reason: Showing positions for holding a newborn addresses the psychomotor domain, teaching physical skills. The affective domain involves emotions and attitudes, not physical techniques. This action helps parents learn how to feed but does not explore their feelings or beliefs, which is the focus of affective learning.

Choice B reason: Explaining bottle-warming steps targets the cognitive domain, focusing on knowledge and procedure. It does not address emotions or attitudes, which are central to the affective domain. This action provides technical understanding but does not engage the parents’ feelings or values about newborn care.

Choice C reason: Having parents demonstrate diaper changing is a psychomotor activity, emphasizing skill acquisition. The affective domain involves feelings and attitudes, not physical tasks. While this builds confidence, it does not directly address emotional engagement or beliefs, which are necessary for affective learning in this context.

Choice D reason: Asking about breastfeeding views targets the affective domain by exploring parents’ emotions, beliefs, and attitudes. This encourages reflection on personal values, fostering emotional engagement with newborn care. Addressing these feelings helps build confidence and commitment, aligning with affective learning goals in nursing education.