Answer Happy

Part 2: Aims of Nursing: Critical Thinking Skills Scenario Albert Rowlings, a 62-year-old man presents to the ER with chest pain and shortness of breath. On assessment the nurse notes a blood pressure of 139/90. Mr. Rowlings is 45 pounds overweight and says that he smokes a pack of cigarettes a day and drinks a six-pack of beer each evening while watching TV. After Mr. Rowlings is admitted and treated for hypertension (high blood pressure), the nurse attempts to teach him lifestyle modifications such as diet, exercise, and stress reduction. Mr. Rowlings says to the nurse, "Just save your breath. Why should I bother about all of that? I'd be better off dead than living like I am now." Mr. Rowlings then turns his back to the nurse and clicks on the TV. 1. What might be causing Mr. Rowlings to respond negatively to patient teaching related to lifestyle modification and stress reduction? 2. What would be a successful outcome for this patient? 3. What intellectual, technical, interpersonal, and/or ethical skills possessed by the nurse are most likely to bring about the desired outcome? 4. What resources might be helpful for Mr. Rowlings?