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Motivational Interviewing

Improving Confidence With Self-care Management in Postoperative Thoracolumbar Spine Patients

Journal of Neuroscience Nursing: June 2019 - Volume 51 - Issue 3 - p E1–E2
doi: 10.1097/JNN.0000000000000452
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The authors and planners have disclosed that they have no financial relationships related to this article.

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Back to Top | Article Outline

CE TEST QUESTIONS

GENERAL PURPOSE: To present the details of a pilot study conducted to examine if targeted motivational interviewing would improve patients’ confidence with self-care management of their symptom-related disability.

LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:

1. Review the background information helpful for understanding the researchers’ study of the effects motivational interviewing on self-care management of postoperative thoracolumbar spine surgery symptoms.

2. Summarize the methodology and results of the researchers’ study of the effects motivational interviewing on self-care management of postoperative thoracolumbar spine surgery symptoms.

  1. The most widely used surgical procedure for alleviating the pain of degenerative disc disease is
    1. laminectomy.
    2. spinal fusion.
    3. diskectomy.
  2. Lee and others reported that value-based care has shifted away from surgical volume to options such as
    1. homeopathic preparations.
    2. medication management.
    3. behavioral interventions.
  3. According to Raso, patient-reported measures including severity of symptoms, functional status, and quality of life are now being incorporated into value-based care for purposes of
    1. assessment.
    2. reimbursement.
    3. cost-effectiveness.
  4. A core principle of motivational interviewing is
    1. self-assurance.
    2. self-efficacy.
    3. self-awareness.
  5. In the first phase of motivational interviewing, the clinician focuses on
    1. goal setting with the patient.
    2. the patient’s commitment to change.
    3. building trust and rapport with the patient.
  6. In motivational interviewing, the A in the acronym OARS stands for
    1. affirming.
    2. advising.
    3. assuring.
  7. One of the attributes of SMART goals is they are
    1. manageable.
    2. measurable.
    3. memorable.
  8. Of the following, the most common comorbidity among the participants in the researchers’ study was
    1. hypertension.
    2. osteoarthritis.
    3. diabetes mellitus.
  9. Of the targeted interventions from which the participants could choose, the greatest number chose
    1. pain.
    2. sleep.
    3. mobility.
  10. The results of the researchers’ study indicated that the participants’ confidence with self-care management of symptom-related disability from pretest to posttest showed
    1. significant improvement.
    2. slight improvement.
    3. no improvement.
  11. The only item on the Oswestry Disability Index that proved to be statistically significant from pretest to posttest was
    1. an improvement in social life.
    2. a decrease in pain intensity.
    3. an increase in walking.
  12. The severity of participants’ total disability level
    1. decreased from moderate to mild.
    2. did not change from moderate.
    3. decreased from severe to moderate.
  13. According to Wasson and Coleman, clinicians should use motivational interviewing when, for example, an individual patient’s score for self-reported confidence on a 0-to-10 scale is
    1. 9 or 10.
    2. 8 or 9.
    3. 7 or less.
  14. The greatest improvement the participants demonstrated was in
    1. confidence.
    2. disability.
    3. self-care.
  15. For the participants in this study, recommendations for improving pain levels included
    1. stretching.
    2. meditation.
    3. journaling.
  16. For the participants in this study, recommendations for improving depression levels included
    1. listening to soft music.
    2. deep-breathing exercises.
    3. eating a well-balanced diet.
  17. The majority of the participants chose which of the following as their activity goal?
    1. lifting light weights
    2. increasing daily walking
    3. alternating standing with sitting
  18. The majority of participants who chose a walking goal had which specific comorbidity?
    1. hyperlipidemia
    2. osteoarthritis
    3. emphysema
© 2019 American Association of Neuroscience Nurses