# Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily levothyroxine tablet in 3 days. She has mild cataracts and wears reading glasses. She speaks only a regional language that the ward nurse does not speak. Her 12-year-old grandson, who lives with her, speaks both languages. The nurse writes her learning objectives across the three learning domains. Which verb BEST fits an objective in the affective domain?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630446  
> language: ko  
> subject: Nursing Practice IV — Care of Clients with Problems in Nutrition and Gastrointestinal, Metabolism and Endocrine, Perception and Coordination

## 문제

Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily levothyroxine tablet in 3 days. She has mild cataracts and wears reading glasses. She speaks only a regional language that the ward nurse does not speak. Her 12-year-old grandson, who lives with her, speaks both languages.

The nurse writes her learning objectives across the three learning domains. Which verb BEST fits an objective in the affective domain?

## 보기

1. Demonstrate
2. List
3. Describe
4. Value **✔ 정답**

**정답: 4**

## 해설

The cognitive domain covers knowledge (state, list, describe), the affective domain covers attitudes and values (value, express, choose), and the psychomotor domain covers skills (demonstrate, perform). Choosing the right verb lets the nurse match the teaching method and evaluation to the domain.

## 심화 해설

The three learning domains
Learning objectives are written in one of three domains, and the verb shows which. The cognitive domain concerns knowledge and thinking (state, list, describe, explain). The affective domain concerns attitudes, feelings, and values (value, express, choose, accept). The psychomotor domain concerns physical skills (demonstrate, perform, measure). Value is an affective verb, because it describes the learner's attitude toward a behavior rather than her knowledge or skill. For this client, an affective objective might state that she will express the value of taking her levothyroxine every day.

| Domain | Focus | Example verbs | Example objective for this client |
| --- | --- | --- | --- |
| Cognitive | Knowledge | List, state, describe, explain | State the time to take levothyroxine |
| Affective | Attitudes and values | Value, express, choose, accept | Express the value of daily treatment |
| Psychomotor | Skills | Demonstrate, perform, fill | Demonstrate filling a pill organizer |

Why the domain matters
Choosing the right verb lets the nurse match the teaching method and the evaluation to the domain. Cognitive objectives are taught with explanation and written materials and evaluated by questions or teach-back. Affective objectives are addressed through discussion, sharing experiences, and exploring feelings, and evaluated by observing statements and choices. Psychomotor objectives are taught by demonstration and practice and evaluated by return demonstration. A plan that addresses all three domains supports lasting behavior change, since a client may know how to take a tablet yet not value doing it every day.

Why the other verbs are wrong
Demonstrate is a psychomotor verb, used for skills such as filling a pill organizer. List is a cognitive verb at the level of recall. Describe is also cognitive, at the level of understanding. None of these describes an attitude.

Watch out! Verbs such as understand, know, and appreciate are vague and hard to measure. In exam items asking for the affective domain, look for verbs about attitudes and choices, such as value, express, accept, or choose.

Exam takeaway
Key point! Cognitive equals knowing, affective equals valuing, psychomotor equals doing; value is the affective verb.

## 임상 시나리오

Learning Domains and VerbsWriting discharge objectives
Cognitive objectives cover knowledge: list, state, describe. Psychomotor objectives cover skills: demonstrate, perform.

Affective objectives cover attitudes and values: value, express, choose, accept. Example: the client will express the value of taking levothyroxine daily.

The domain guides the method: explanation for knowledge, discussion for attitudes, demonstration and return demonstration for skills.

## 핵심 개념

- **Cognitive domain** — The learning domain of knowledge and intellectual skills, from recall to evaluation.
- **Affective domain** — The learning domain of attitudes, feelings, and values.
- **Psychomotor domain** — The learning domain of physical and motor skills.
- **Behavioral objective** — A statement of what the learner will be able to do after teaching, written with an observable verb.
- **Levothyroxine** — A synthetic thyroid hormone taken daily to treat hypothyroidism.

## 같은 주제 문제

- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630346)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630347)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630348)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630349)
- [Situation: A 52-year-old delivery driver was diagnosed with type 2 diabetes mellitus 1 wee…](https://mymerci.kr/pages/nclex_q.php?qn_id=630350)
- [Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily…](https://mymerci.kr/pages/nclex_q.php?qn_id=630447)
- [Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily…](https://mymerci.kr/pages/nclex_q.php?qn_id=630448)
- [Situation: A 69-year-old woman with newly diagnosed hypothyroidism will go home on a daily…](https://mymerci.kr/pages/nclex_q.php?qn_id=630449)

---

More free questions: [기출문제](https://mymerci.kr/)

_학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요._