Question

While teaching the client about management of his heart disease, a nurse might use a strategy that is implemented to promote learning in the affective domain such as:

1. Asking the client what he believes he needs to know about the diagnosis
2. Providing brochures both on current exercises and on nutrition guidelines
3. Encouraging the client to personally discuss his feelings about his health status
4. Having the client return-demonstrate self-measurement of his own blood pressure

Answer 1

Encouraging the client to discuss feelings about their health status addresses the affective domain in learning, which involves emotions related to heart disease management. This is important since emotional well-being is crucial in health promotion and managing heart disease risks.

Step-by-step explanation:

When teaching a client about management of his heart disease, a nurse might use various strategies to promote learning that addresses the affective domain of the learner. Among the options provided, the strategy that directly pertains to the affective domain is option 3: Encouraging the client to personally discuss his feelings about his health status. This strategy focuses on the client's emotions and values related to their health, which is a key aspect of the affective domain, encompassing attitudes, emotions, and feelings. Option 1, which includes asking the client about his beliefs, also touches on the affective domain but is more related to the cognitive aspect of simultaneously valuing and understanding his health condition. Options 2 and 4 are more focused on the cognitive and psychomotor domains, providing information and skill development, respectively.

Research has linked affective factors such as depression and negative affectivity with an increased risk of cardiovascular disorders, further emphasizing the importance of addressing emotional health in heart disease management. Promoting a holistic approach that includes emotional well-being is therefore vital in health promotion and disease prevention.

Answer 2

Encouraging the client to personally discuss his feelings about his health status is a strategy that promotes learning in the affective domain, essential for managing heart disease. It involves addressing the emotional aspects of the patient's condition, which research has linked to cardiovascular health. The correct multiple-choice option is (3).

Step-by-step explanation:

The question posed addresses the strategy a nurse might use to promote learning in the affective domain when teaching a client about managing heart disease. Among the given options, encouraging the client to personally discuss his feelings about his health status would directly appeal to the affective domain. This domain involves the emotional component of learning, which includes feelings, values, appreciation, enthusiasms, motivations, and attitudes. In contrast, the other options are associated more with the cognitive domain (gaining knowledge about the diagnosis, understanding exercise and nutrition guidelines) and the psychomotor domain (return-demonstrating blood pressure measurement).

To emphasize, a nurse discussing negative affectivity or depression with the client is addressing factors that may affect heart contractility, and therefore cardiac output. This type of intervention aligns with research linking negative emotional states to cardiovascular issues. In this context, the nurse provides education not just through informational brochures and demonstrations but also by acknowledging the psychological aspect integral to heart disease management.

The correct multiple-choice option is (3).