This means that this client must lose weight in order to turn his health challenges around. The challenge for the community nurse will be to help the client understand the need to change their behaviors with eating and with exercise. In this scenario, the individual must start exercising daily and start eating meals at home instead of using take away food or restaurant food for most of his meals. He must also understand nutrition, how to read labels at the grocery store, and how to buy nutritious food for himself. In this situation, it seems that the Trans Theoretical Model (TTM) is the best to use because this individual must learn self-care.In the first phase of education, the nurse would encourage this client to understand more about hypertension. Most important would be to explain what hypertension does and the consequences of not treating it. The first step would be a general overview of hypertension and its symptoms. Once these were discussed, the nurse would provide the answers to any questions that the client may have about their own hypertension. The nurse would need to have information from the client’s doctor about their hypertension. The objective of this education about hypertension would be to show the client the seriousness of the issue and help them make their own thoughts about what might happen if they go untreated. It would seem that in this scenario, this client may be moving into the pre-contemplation stage of the TTM. As he begins to understand the seriousness of hypertension, he should also be able to relate to some of the symptoms, though he may not have thought about them in the past. As an example, he may have experienced headaches, dizziness or nose bleeds at times when his blood pressure was high, but he would not have attributed these to hypertension. After education, he may be able to relate thisinformation to the nurse.