The Use of Question Tags in English

A tag question is a  question added to a declarative sentence, usually at the end, to engage the listener, verify that something has been understood, or confirm that an action has occurred. Also known as a question tag. Common tags include: wont you? wasnt it? dont you? havent you? okay? and right? Examples and Observations If we knew what it was we were doing, it would not be called research, would it?(attributed to Albert Einstein)Theres nothing more exhilarating than pointing out the shortcomings of others, is there?(Randal Graves in Clerks, 1994)I like New York in June, how about you? I like a Gershwin tune, how about you? (Burton Lane and Ralph Freed, How About You, 1941)A toothbrush is a non-lethal object, isnt it? (Morgan Freeman as Red in The Shawshank Redemption, 1994)This time we almost made the pieces fit, didnt we? This time we almost made some sense of it, didnt we? (Jim Webb, Didnt We? 1968)Now eventually you might have dinosaurs on your dinosaur tour, right? (Jeff Goldblum as Dr. Malcolm in Jurassic Park, 1993)But we mustnt think it has all been wasted, must we? We must remember the good times, mustnt we? (Eva Figes, Nellys Version. Secker Warburg, 1977)To actually see inside your ear canal--it would be fascinating, wouldnt it? (Letter from Sonus, a hearing-aid company, quoted in The New Yorker, Mar. 24, 2003)I warned you, but did you listen to me? Oh, no, you knew, didnt you? Oh, its just a harmless little bunny, isnt it? (Tim in Monty Python and the Holy Grail) Clause Types With Tag Questions Question tags are not independent clauses, but they do require a response, and are highly interactive. Structurally, interrogatives are abbreviated yes/no interrogatives consisting of an operator (either positive or negative) and a pronoun, which repeats the subject or substitutes for it. Question tags are attached to one of the following clause types: Of these, the declarative is by far the most common. (Angela Downing, English Grammar: A University Course. Taylor Francis, 2006)A declarative clause: It was quiet in there, wasnt it?An exclamative clause: How quiet it was in there, wasnt it?An imperative clause: Be quiet for a moment, will you? The Danger of Tag Questions There were plenty of good seats, as it happened, for the train was not crowded, and Richard was able to select an empty compartment. He was soon joined, however, by a stout, good-natured countryman who selected the seat opposite Richard, opened his newspaper, and became immediately social. Ave ye read about second murder? he exclaimed. Richard frowned, and replied rather shortly. Yes. Gruesome, isnt it? He wished he had not added the isnt it? for this invited a continuation of the conversation, and Richard was not feeling social himself. (J. Jefferson Farjeon, The Z Murders. Collins, 1932) Commas With Tag Questions Place a comma between a statement and the brief question that follows it when the subject of the statement and the subject of the question is the same entity (example 1). When they have different subjects, the statement and the question must be punctuated as separate grammatical elements (example 2).Examples(David K Woodroof, Woodroofs Quotations, Commas and Other Things English. iUniverse, 2005)George was not there, was he?I will never stay in that hotel again. Will you? Also Known As: tag declarative, question tag (chiefly British), interrogative tag

Parenting Style - 1228 Words

Ginny Bouphasok Diana Refsell Developmental Psychology 10/2/12 I think so many factors influence parenting. I would like to start this off with one of the most important factors I think that influence parenting, and that is having a child unplanned and not being ready for it versus planning for a child and being ready for it. I am a little old fashioned when it comes to certain things and especially when I think of how I would raise my child. I do not have one, and I am a lesbian. I am not sure when I will have one, but I want to with a potential partner, hopefully she can carry or we can adopt as well. When I say I am a little old fashioned I guess I am referring to how I would raise my child. When I see the way my friends act†¦show more content†¦It’s the parent’s job to stay on top of things like that, so the children don’t end up watching anything bad. I also think some children play electronics too much, there is nothing wrong with them playing it by all means, but I think some parents stick them on it so they don’t have to deal with them. Another big issue is many parents get mad at their children because when it’s during the school season, some young children don’t like to do homework. When I was younger my dad taught me my alphabets, math, emergency numbers, and address at a very young age. My dad always bought me coloring books, pencils, and papers to keep me busy. We had a Nintendo system, but I barely used it. Even though my parents didn’t speak English or learn the things I did in school they would still try their best to help me or find me help. People cannot expect for their children to love studying and working with school materials if you don’t support them and work with them. When I have my child, I plan to paint and color with them all the time. It’s so important to be active with children especially when they are young and their brains are developing. Communication and patience is the key with children. Also the right amount of emotion and love is very important. I know raising children is not easy that’s why it’s not meant for everyone. And planning ahead I think makes a huge difference. My friends tell me when I talk about what I would do with my kid they tell meShow MoreRelatedParenting Styles And Styles Of Parenting1391 Words   |  6 Pages Parenting Styles My term paper will discuss the 4 Styles of Parenting, including; the styles of parenting that we as single parents and couple parents may identify with. My paper will also discuss how each parenting styles impacts our children, if it works and the style of parenting that’s most effective. Authoritative Parenting Style The Authoritative Style of Parenting, children are expected to follow the rules and guidelines that a parent with this style of parenting has put into place. ThisRead MoreParenting Styles : An Effective Parenting Style988 Words   |  4 PagesParenting style can influence whether a child succeeds or merely survives. The authoritative parenting style may be an effective parenting style in theory, however like communism, it is not as effective in practice. Children need to learn through friendships and develop social skills. Being able to connect to the outside world expand the mind and imagination, giving the children skills that help them think critically. On the other hand, being a permissive parent can also damage the child’s developmentRead MoreDifferent Styles Of Parenting Styles1708 Words   |  7 PagesSilicon Valley. (Hogan and Haskell, 2). Most of today’s kids have one of the following types of parents: Indulgent, Authoritative, Neglectful, Authoritarian*. T hese are generally regarded as the four main types of parenting. These four styles of parenting are the stereotypical parenting styles most people identify one or both of their parents as. Indulgent parents tend to coddle their children and protect them from disappointment. Authoritative parents are people who have reasonable demands and rulesRead MoreConflicting Styles Of Parenting Styles1375 Words   |  6 PagesConflicting Styles of Parenting Parents will treat their children the way they see fit. In the authoritarian parenting style, there is no room for freedom. In permissive parenting, there can be more freedom than the children know what to do with. Authoritative parenting combines the gist of both of the other styles and allows both freedom and structure. Both authoritarian and permissive styles have components that authoritarian parents see as productive methods if used properly. Many people associateRead MoreParenting Style Of Parenting Styles1772 Words   |  8 PagesPin pointing a specific parenting style that I was raised by was quite difficult. I believe that most parents use different styles throughout the raising of their children. Of course, I do understand that this paper is to select the dominate style of parenting used for my upbringing, but I was raised in two different households. Each household had its own dominate parenting style, however most of my life I was raised by my mother, so I’ll focus on her parenting style. As I stated above, I believeRead MoreEffects Of Parenting Styles992 Words   |  4 PagesParenting styles can be highly impressionable on their children.  There are various styles of parenting, and each style can have different effects on the child or adolescent.  The four parenting styles that can be implemented in the household are recognized as: authoritarian, neglectful, permissive, and authoritative. All four of these styles carry their own unique characteristics, and have some distinct features. Whichever style a parent decides is best to use for their child can have multiple shortRead MoreThe Different Parenting Styles1024 Words   |  5 PagesParenting styles have been described as the collection of parents’ behaviors which create an atmosphere of parent-child interaction across situation (Mize and Petit, 1997). Darling and Steinberg (1993) defined parenting style as â€Å"a constellation of attitudes toward the child that are communicated to the child and that , taken together, create an emotional climate in which the parents’ behaviors have expressed.† Despite these challenges, researchers have uncovered convincing links between parentingRead MoreThe Authoritarian Style Of Parenting Essay1414 Words   |  6 Pageschild-parent behavior, seeking to identify parenting styles. The Baumrid study and other further studies identified four main styles of parenting (Miller, 2010): the authoritative parenting style was characterized by fair rules and consequences; The Authoritarian parenting style was characterized by strict rules and harsh punishment; the permissive parenting style was characterized by minimal rules with little or no consequences; the uninvolved parenting style was characterized by no rules, and parentRead MoreEssay on Parenting Styles1213 Words   |  5 PagesParenting Paper Diane Baumrind’s typology has two major dimensions. The first dimension is responsiveness. In the text it mentions that responsiveness â€Å"refers to the extent in which parents respond to and meet the needs of their children.† (Knox 364). This is when parents support, encourage, and foster their children’s needs. The second dimension is demandingness which is â€Å"the matter in which parents place demands on children in regard to expectations and discipline.† (Knox 364). This is aboutRead MoreEssay on Parenting Styles1718 Words   |  7 Pagestheir  children  to  discuss  household  rules  and  their  importance  to  the  family  dynamics.  These  styles  of parenting  have  their  advantages  and  disadvantages.  There  are  ethical  and  unethical  issues  when  it  comes to  discipline  with  punishment  styles  as  well. The  advantages  and  disadvantages  of  The  Harsh ­Heart  family  can  lead  to  positive  outcomes and  horrible.  The  Harsh  family  would  be  the  authoritarian  style  of  parenting.  This  style  would  be  the  old fashioned  style.  This  style  believes  in  the  usual  strict  rules  with  no  question.  Consequences  are  harsher

Cultural Misconceptions - 1471 Words

Thomas Lane English 1001 3/5/07 Cultural misconceptions Many cultures are often misunderstood by the rest of society. This lack of understanding by society at large of specific cultures often leads to misconceptions about a given society. These generalizations apply to all types of cultures and they also apply to societies understanding of the Hyphy movement. The Hyphy movement is a culture with many aspects yet there are many misunderstandings regarding this culture that have been used to crack down on Hyphy behavior. Like generalizations and stereotypes of other cultures, the misunderstandings about Hyphy culture are not completely unfounded, but are exaggerated. As a person surrounded by and participating in the hyphy movement I†¦show more content†¦There is hyphy dress so someone might be inspired to open a clothing store or start designing clothing; there are even hyphy energy drinks. The hyphy movement is culture, more importantly it is youth culture and while many of its customs are rooted in traditional African American culture it is not ethnically exclusive. It is something that is primarily designed as a means of expression for people aged 16-30 but often has followers outside of those demographics( my brothers only 14 and hes Hyphy and the leading musician of the Hyphy movement is near 40). Hyphy culture covers many aspects of life including familial relations to celebrations and even language. In the hyphy movement family has a looser definition than what society at large would consider family. Many of the followers of the hyphy movement were born or raised during Americas crack epidemic and as a result hyphy is more inclusive of blended families and informal adoption like a friend of the family living with the immediate family and being introduced as a brother. Also, in the hyphy movement many males address each other as cuz which is slang for cousin. Hyphy celebrations include dancing and music much like other cultures but the ways in which people celebrate are much different. One major diff erence in hyphy celebrations is that no special occasion is needed to celebrate. These spontaneous celebrations often take the shape of sideshows, a huge gathering thatShow MoreRelatedEssay on Jihad: Moving Beyound Cultural Biases and Misconceptions2578 Words   |  11 Pagesimages. Not even the government is spared from the cloak of cultural bias, as President George W. Bush inadvertently likened the terrorist actions to a crusade, a truly violent and holy war. In addition, the famed Fox News speaker Bill O’ Reilly announced that he was going to launch a â€Å"fierce Jihad† against media executives he disliked (Rogers-Melnick). These confused applications of the word have helped to ingrain society’s own misconceptions of Jihad, making violence and distrust its only definitionRead MoreThe Cultural Disconnect Between Latino Self Identification And White American Misconceptions Of Hispanic Ethnicity1605 Words   |  7 Pagesbetter future for their families and for themselves. In this essay, I will investigate the complex role that Latinos have played in American society, economic, and political life, focusing specifically on the cultural disconnect between Latino self-identification and white-American misconceptions of Latino-specific immigration. Latinos have many goals in this country, one of the main one is to create a better future, and to do that they have to make money. Which leads to Latinos having a huge impactRead MoreTeam Culture And Scale. Introduction . In The Global Business1519 Words   |  7 PagesTeam Culture and Scale Introduction In the global business arena organizations which like to have wider representation and participation generally tend to recruit talented team members in its workforce regardless to their cultural origin. To remain competitive in the global economy organizations have no other alternative to this. When any workforce is blended with people of various cultures naturally the difference of their dispositions, actions, mind-sets, pattern of dialogue etc. becomes visibleRead MoreDifferent Perspectives Of Immigration And Discrimination1378 Words   |  6 Pages In a world filled with multiple cultural identities and differences, little is known as to why a survey of racial citizens discriminate against those of immigrant backgrounds. For instance, when an immigrant leave his/her native land to establish permanent residency abroad. As this individual begin to familiarize him/herself with this new country, a number of people who religiously consume this place, are not as open to famili arizing themselves with this person of unchained difference.Read MoreCultural Anthropology : A Perspective On The Human Condition883 Words   |  4 PagesPart one How should someone interpret another culture that they are not familiar with? In the study of cultural anthropology there are two terms in which an individual can formulate an opinion on a new cultural setting. The first is ethnocentrism, which is defined by anthropologist as the belief that one’s own way is correct. (Shchultz and Lavenda:2013 28) There are numerous accounts of this ideology throughout history which has resulted into some of worst human acts that were ever committed. WhenRead MoreStereotypical Hegemonic Views Of Children And Young Adults1058 Words   |  5 Pagesofficer to â€Å"back down.† Men are continually portrayed as committing to sporadic instincts, such as pulling the gun. The man is not portrayed as rationally thinking about the situation at hand, such as Benson did. This one scene displays the misconception of the irrational decision making process men possess in order to protect women. Then, the closing scene shows Benson in the family s etting, and she is worried that her current happiness will soon come to an end. Captain Ed Tucker, her currentRead MoreEthnocentrism As Defined By The Osu Department Of Anthropology984 Words   |  4 Pagesa culture where values, customs, and shared practices are different from their own. It is the difficulty or inability to understand other ways of acting, thinking, or feeling; when one cannot process the understanding of others attitudes within a cultural context. Each culture has values – important beliefs and moral natures that underlie the influences of the interaction through history and current social, ethnic, or regional groups. Some may even participate in various cultures at one time or overRead More`` Cold Sassy Tree `` By Olive Ann Burns1647 Words   |  7 Pagescrooked nature of small, southern towns, and by extension, southern heritage as a whole. Through her characters, Burns paints a playful picture of misconception, polarization, conformity, and persevera nce, and their weaving in and out of the culture of her fictional town. It is perhaps another word that best describes the union of both misconception and polarization in Burns’ novel, and that word is diversity. Throughout the entire novel, it becomes evident that diversity plays a major role inRead MoreComing From The Republic Of Ghana1527 Words   |  7 Pagesbelieve to be right and wrong. According to cultural relativism, this is wrong. In French J. Lawrence’s Children’s Labor Market Involvement, Household Work, and Welfare: A Brazilian Case Study he argues that there should more of a focus â€Å"– on ending the exploitation of children rather than depriving them of all opportunities to work.† (Spath) Like he does, I argue that the assessment of whether or not sweatshops are bad cannot be made because. According to cultural relativism says, we have no right to deemRead MoreTok Essay1553 Words   |  7 PagesNovember 13 2013 May 2014 Exam Session Word Count: 1600 Humans have come to accept that History by mere definition is the exploration and study of history whereas the Human Sciences are defined as the in depth study of social, biological and cultural aspects of human beings. As humans we have used and accepted this two Areas of Knowledge, to interpret and understand the world around us. History and Human Sciences seek to influence humans through language, reason, and emotion. An assumption is

Jean Paul Sartre on the Anti Semite Essay - 1418 Words

Jean Paul Sartre on the Anti Semite Describe the anti-semitic persons attitude toward reason. How does his attitude toward reason reflect or reveal his general attitude toward life, the human condition and even himself? How does his attitude toward reason compare to the attitude of the rational man? Sartre explains that an Anti-Semite is impenetrable, and it is actually something he strives to achieve. By gaining impenetrability, the Anti-Semite strengthens his beliefs because another person is not capable of reasoning with him. Sartre believes the Anti-Semites reason is based on the passion for hatred that he holds for the Jew. Sartre uses the word monoideism to explain the irrational Anti-Semites passion†¦show more content†¦The rational man is open to all ideas; he strives to gain more factual information to back his views. However, the Anti-Semite remains closed-minded and chooses to be ignorant to the fact that his beliefs are not valid. The rational man seeks information, and does not feel content until his quest for knowledge is over. The rational man is even hesitant when he states his ideas, or comes to conclusions. He realizes that there are other views on every subject, and he wants to contemplate over every possible idea that he is able to think of until he reaches his own. The reasonable man will even admit when he is proven wrong, and change his view. The Anti-Semite wishes not to change, and claims, even when proven wrong, that his beliefs are still of a valid and true nature. Sartre believes the actual content of truth frightens the Anti-Semite. The idea of there being other views is ignored by the Anti-Semite. He chooses to remain innate. They want to come to a conclusion right away, and consider only the factors that benefit him. Sartre blames the Anti-Semites ability to ignore reasoning and research on emotional bias. Through this emotional bias, he feels at ease because he is in a state of bliss; he feels as though he knows all he needs to know about life. In conclusion, the Anti-Semite disregards any other ideas besides his own, and those of hisShow MoreRelatedRacism In Jean Paul Sartre1548 Words   |  7 PagesJean-Paul Sartre, France and the world’s greatest philosophers of the 20th century, was a witness to two world wars. Being in the heart of it all shaped his personality and his views in many ways. Sartre was one of the first to address the silence on the Jewish treatment during and after the Second World War. By doing so; he started a chain reaction that formed a whole new school of thought where an entire generation of philosophers tried to answer the fundamental questions about anti-Semitism specificallyRead MoreThe Merchant Of Venice Anti-Semite Essay2020 Words   |  9 PagesNowadays, many people consider the play â€Å"The Merchant of Venice† is one of the most problematic dramas written by Shakespeare because it promotes the prejudice against Jews or the ideology of anti-Semitism. In fact, the play de picts the villain as a devil, a usurer and a Jew who attempts to murder the good and godlike Christians for they have performed good will and mercy toward other people and ruined the Jew’s business. Whether it is his intention or not, Shakespeare chooses to create the image

Context That Motivates Adult Learning Free Essays

Context That Motivates Adult Learning There are four â€Å"distinct context† to motivate adult learners according to the research of Malcolm Knowles (Alexander, M. , Clugston, W, Tice, E. (2009) these are; Practical, Personal, Experiential and Idealistic Context. We will write a custom essay sample on Context That Motivates Adult Learning or any similar topic only for you Order Now Practical context describes one who is motivated by intentional or specific personal gain where you deliberately choose to learn a subject or activity knowing in advance of starting the learning process that it will benefit and /or be useful to you either immediately or in the future. Personal context motivation is when one has the desire to further their education in an effort to achieve personal goals. Experiential context is when one is motivated to expand or adjust the knowledge gained through past experiences and applying it to new challenges or experiences to form updated results. Idealistic context motivation is learning for the sole purpose of learning, discovering and staying up to date and â€Å"in the know. † Practical context is my type of motivation to learn. Before applying to Ashford I was certain that the hard work and dedication I put into earning my degree in Human Resources Management will open opportunities for professional advancement in my career goals. My current occupation is Human Resources Representative in a corporate setting with over 10 years of experience in the Human Resources field. I have enough experience the Human Resources field that I am confident I will succeed as a manager. However, I cannot be considered for a management position until I achieve a Bachelor’s degree in Human Resources Management. How to cite Context That Motivates Adult Learning, Essay examples

Process Of Engaging In Critical Reflection †MyAssignmenthelp.com

Question: Discuss about the Process Of Engaging In Critical Reflection. Answer: While engaging in care of patients with chronic conditions, a nurse has to analyze and interpret multiple factors that can have an impact on their health outcome. The ability to interpret and analyze different factors to prioritize care for patient is dependent on clinical expertise as well as critical reflection skills. The process of engaging in critical reflection is the pathway through which nurse can deduce the main patient problem and plan the best care priority for the recovery of patient. Clinical reasoning cycle is one of the process that can be used by nurse to analyzed and process complex patient information in a systematic manner and understand the care needs of patient. The essay utilizes the steps of the clinical reasoning cycle to the case of Peter Mitchell, a 52 year old patient with morbid obesity and type 2 diabetes and analyzes the information from the case to identify two care priorities for patient. The rational for choosing specific care priorities is also provi ded by applying clinical reasoning cycle as a means of justification. The clinical reasoning cycle is an eight step process of cyclical intervention and by passing through those steps, nurse can make inference regarding care plan and treatment goals for patient (Dalton, Gee Levett-Jones, 2015). The clinical reasoning cycle stars with the first stage of considering the patient situation. The analysis of Peter Mitchells scenario reveals that the patient is suffering from poorly controlled diabetes, obesity ventilation syndrome and apnoea and he was admitted to the hospital with these complaints. This information gives an overview about the context of Peters case. The next step to get more information about patient is to collect cues/information about patient. This is obtained from nursing assessment records, patient chart and observations on discharge of patient. The factor contributing to his presenting symptom is understood from his past medical history. Peter Mitchell had history of hypertension, obesity, hypertension, depression, sleep apnea and gastro oesophageal reflux disease. Another vital cue to the case is that the patient was a heavy smoker taking 20 cigarettes per day. His problem of ventilation syndrome and sleep apnea is also understood from the fact that he failed to continue with low energy, high protein diet (LEHP) and light exercise to facilitate his weight reduction. Sleep apnea and ventilation is syndrome is a problem most commonly linked to obesity and obesity worsens apnea because of fat deposition at different sites (Romero-Corral et al., 2010). The review of Peters past medical history also revealed that Peter faced di fficulty in finding job and maintaining social relationship due to weight gain. As the main purpose of the essay is to identify two main care priorities for Peter, it is necessary to identify two problems that will threaten or increase health risk for patient. Hence, the problem inherent in patient can be identified by processing the information that has been collected from patient charts and observation. Peter was overweight from the beginning as his weight three years ago was 105kg, however his health issues has increased currently because he constantly gaining significant amount of weight. His current weight is 145 kg with a BMI of 50.2 kg/m2. From this information, it can be interpreted he is a patient with morbid obesity. A person who has a BMI of 25-30 kg/m2 is defined as overweight and BMI above 40 kg/m2 is defined as morbid obesity. His obesity comes under class III obesity and such individuals are at high risk of illness and death (Kitahara et al., 2014). From this evaluation, it can be said that obesity is one of the problem in patient that contributed to symptom of apnea and ventilation syndrome and obesity. Evidence suggest that the prevalence of these problem is increasing in parallel with obesity epidemic in United States Manthous Mokhlesi, 2016). Apart from his part and current medical history, the patients current observation also needs to be processed to prioritize care for Peter. His last observation detail was BP 180/92 mm HG, RR 23 Bpm, HR 102 Bpm and SPO2 95% on RA. Although his heart rate and SPO2 value are within normal range, however his blood pressure value indicates that Peter is hypertensive. His respiratory is also above the normal range (12-20 Bpm). This abnormality in vitals sign might have emerged due to his poorly controlled diabetes and high BGL level. Patients who are diabetic are highly likely to suffer from hypertension and this common link has been found due to the overlap between the etiology and disease mechanism for both the condition (Cheung Li, 2012). Hence, hypertension in patient with diabetes should be taken seriously in patient as he may also have the risk of developing cardiovascular condition (White, Wang Jelinek, 2010).. The symptom of diaphoresis in patient was also seen due to poor glucos e control in patient. The next step of the clinical reasoning cycle is process of identifying problem/issue in patients. By the analysis and processing of patient information, two major problems identified in patient are poorly controlled diabetes and morbid obesity in patient. These two conditions have contributed to hospitalization for Peter and presence of presenting symptoms of shakiness, diaphoresis, difficulty in breathing during sleep and increased hunger (Raveendran, Wong Chung, 2017).). Based on this inference, two specific care priorities for patient have been identified. By focusing on the two care priorities, proper direction for establishing goals for care of Peter is possible. Hence, informed by the two care priorities, the nursing care plan for patient is to implement appropriate clinical intervention to control his BGL level. Another nursing goals for care of patient is to take steps to reduce his weight gain and motivate Peter to continue with diet programs and light exercise recommended to him after consultation with dietician and physiotherapist respectively. Based on the above care plan, this section provides detailed explanation regarding the care priorities and the course of action to be taken to fulfill the goals for care. The number one care priority for the health and well-being of Peter is related to management of obesity, weight gain and other obesity associated symptom in patient. Peter had been suffering from the issue of difficulty in sleeping while breathing which is a clinical manifestation of sleep obstructive apnea. To provide relied to patient from breathing difficulty, the action is to control weigh gain in patient by means of lifestyle intervention. This is important because obesity is one of the major risk factor of sleep apnea and taking steps to control weigh gain may address this symptom in patient too. Evidence suggest that obesity is one of the risk factor for increase in prevalence of obstructive sleep apnea in general population. 10% changes in body weight leads to a parallel change of 30% in the apnea hypopnea i ndex (An index for sleep apnea severity) (Schwartz et al., 2008). Hence, weight loss is one of the effective strategies to treat the problem as changes in adiposity improve upper way function during sleep (Araghi et al., 2013). Before implementing the lifestyle intervention, Peter can be encouraged to lose weight by providing education regarding the risk factors of obesity and the benefit of lifestyle intervention on reducing the severity of presenting symptom in patient. In case of Peter, health behavior change is vital to fulfill the two identified care priorities. For this reason, patient education has been taken as the first course of nursing action as extensive education can only motivate patient to change their health behavior. Secondly, to help Peter lose weight, the nurse need to collaborate with dietician and physiotherapist so that both dietary intervention and exercise intervention can be provided to patient. Dietary strategies can help patient to lose weight (Look AHEAD Research Group 2010). The combination of both dietary and exercise intervention has been proposed because dietary intervention alone cannot be effective in producing significant changes. Physical activity intervention will help in weight loss maintenance (Araghi et al., 2013). Another plan of action to address obesity related symptom in patient is to implement smoking cessation therapy. This is extremely important for Peter because he is a heavy smoker and smoking will incr ease risk of respiratory and cardiovascular complication in the future (Dare, Mackay Pell, 2015). Hence, nurse led smoking cessation intervention can be implemented for Peter too. Proper advice given by nurse can help patient to successfully quit smoking. As Peter is a heavy smoker, addiction will be one major issue in smoking cessation. Nurse can also implement nicotine replacement therapy in the form of chewing gum, transdermal patches or nasal sprays so that patient is less motivated to smoke and the transition from cigarette smoking to complete abstinence becomes easier for Peter (Chauhan et al., 2016). For care priority related to management of uncontrolled glucose level in patient, implementation of both pharmacological and non pharmacological intervention is necessary. Based on advice from clinician, nurse can provide medications like Metformin to Peter. Metformin is a first line of drug clinically used for diabetes patient and drug acts to suppress hepatic glucose production (An He 2016). The non pharmacological intervention for controlling symptoms of diabetes in patient includes implementing lifestyle measures such as weight loss and physical activity. As Peter discontinue exercise previously, he should be encourage to engage in simple activities like walking only so that complications related to diabetes and hypertension can be addressed. Diet changes, physical activity and changes in life style have been found to reduce the development of cardiovascular disease in type 2 diabetes patient (Chen et al., 2015). The next stage in the clinical reasoning cycle after the take action step is evaluating outcome step. The intervention proposed for Peter can be evaluated for effectiveness in patient by assessment of vital signs in patient. This would give idea regarding positive or negative changes in hypertension and breathing rate. Secondly, patients compliance to smoking cessation strategy and lifestyle intervention also needs to be checked to understand patients ability to continue with healthy lifestyle. After implementing a nursing intervention, reflection is also a critical element to understand what went right for patient or what acted as the roadblock in the path to reflection. Based on this kind of reflection, nurse can improve their skills and engage in continous professional development. The essay looked at the case scenario and health information of Peter Mitchell to identify and justify two specific priorities of care for patient. 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