Time consuming: when a nurse has multiple patients and limited time, it may be difficult to fully implement MRM.
Patients are coming into the hospital setting with several co-morbidities and issues.
A patient might be private in nature, thus not divulging all the information needed to implement MRM.
MRM works on the premise that each patient is knowledgeable about their needs and their wants, which may not be the case.


Care focused on the client’s needs and can be used in all area’s of nursing.
It involves an “open/holistic view” and applies to all aspects of nursing care.
The theory enables the nurse to care for and nurture each client with an awareness of and respect for the individual’s uniqueness. It’s based on the client’s needs. Clients have the ability and knowledge to understand what has made them sick. It empowers the patient to grow to heal.

Based on the assessment data collected through the observations and interviews with Mr. K and his wife, the nurse has the impression that Mr. K believes that he has no control over his high bp because of his family history and prevelance of high bp among African American men. Mr.K and the nurse plan strategies in partnership for each of the five aims for interventions to facilitate growth and healing. For example, to promote a positive orientation for Mr. K, the nurse refers to the future and to a time when his bp will be controlled. To encourage Mr. K's perception that he doesn not have some control over his life, the nurse encourages Mr. K by asking what he believes he can do to help himself and then urging him to set goals to achieve the desired behavior change. To affirm Mr. K's strengths, the nurse mirrors his statements related to identified strengths such as a supportive wife and extended family. The evaluation for this encounter is based on the perception of Mr. K that he does not have the internal and external resources necessary for...