Motivational Interviewing 2024 pre-test, Exams of Nursing

Download Motivational Interviewing 2024 pre-test and more Exams Nursing in PDF only on Docsity! Motivational Interviewing 2023 pre-test What is the goal of motivational interviewing? - - helps the client resolve ambivalence that prevents them from reaching their goals - Activates the capability for beneficial change that everyone possesses. what is MI based on - Carl Rogers' theories about one's capabilities for exercising free choice and changing through process of self-actualization what are the assumption MI has in terms of ambivalence - • Ambivalence about change is normal and constitutes an important motivational obstacle in recovery. • Ambivalence can be resolved by working with client's intrinsic motivations and values. what does MI see the nurse client relationship as being - collaborative partnership to which each brings important expertise. what are the counselors roles in MI - • Directive • Empathic • Goal of eliciting self-motivational statements and behavioral changes from client. • Creates client discrepancy to enhance motivation for change. what is the central problem preventing change according to MI - Ambivalence what are the stages of motivational interviewing - precontemplation, contemplation, preparation, action, maintenance what is the patients plan regarding action during the precontemplation stage - No intention to take action in the foreseeable future (usually defined as the next six months) what is the patients plan regarding action during the contemplation stage - · People are intending to change within the next 6 months what are people aware of during the contemplation stage - - pros of changing but also acutely aware of the cons the contemplation stage - "mental weighing" of the importance of the pros and cons associated with changing behavior what is the patients plan regarding action during the preparation stage - · People intend to adopt a new behavior in the immediate future, usually defined as the next month. what do people during the preparation stage have - plan of action what occurs during the action stage - · Beginning of behavioral change · People have made specific overt modifications in their lifestyles within the past six months. what occurs during the maintenance stage - · People still work to prevent relapse, but they do not need to apply change processes as frequently as do people in the action stage. · They are less tempted to relapse and more confident that they can maintain their change. general principles of motivational interviewing - • Express empathy through reflective listening • Develop discrepancy between clients' goals or values and their current behavior. • Avoid argument and direct confrontation. • Adjust to client's resistance rather than opposing it directly • Support self-efficacy and optimism. What is empathy? - the ability to understand and share the feelings of another is empathy approval or acceptance - acceptance what should be avoided with MI - • Ordering, directing • Warning or threatening • Giving advice, making suggestions, providing solutions • Persuading with logic, arguing, lecturing • Moralizing, preaching • Judging, criticizing, disagreeing, blaming • Agreeing, approving, praising • Shaming, ridiculing, labeling, name calling • Interpreting or analyzing • Reassuring, sympathizing, consoling • Questioning or probing • Withdrawing, distracting, humoring, changing subject what are some motivational interviewing techniques - • Express empathy • Develop discrepancy • Support self-efficacy • Use change talk • Roll with resistance how may empathy be expressed during MI - • Empathize with the concern and explore. • Non-judgmental. • Assures client is being heard and understood. • Shows you recognize barriers the client faces. what is developing discrepancy - • Help the client see that some behaviors don't mesh with ultimate goals that are important/valuable.