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Motivational Interviewing: Helping Patients Move Toward Change

doi: 10.1097/CNJ.0b013e3182423f43
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Motivational Interviewing: Helping Patients Move Toward Change


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General Purpose Statement

To provide the nurse with an overview of motivational interviewing, along with the stages of change and a behavioral change plan.

Learning Objectives

After reading this article and taking this test, the nurse will be able to:

  1. Define motivational interviewing.
  2. Identify the stages of change along with a behavioral change plan.
  1. According to Mason & Butler, one reason why people do not change is because they
    1. are afraid to change.
    2. do not know how to change.
    3. do not have social support to change.
    4. do not have financial support to change.
  2. An important behavior change principle is that people will change when they are ready, willing, and
    1. supported.
    2. able.
    3. have defined goals.
    4. motivated.
  3. Which term best describes the interaction style of motivational interviewing?
    1. authoritarian
    2. paternalistic
    3. directive, client–centered
    4. indirective, provider centered
  4. Motivational interviewing should not be used in patients with
    1. chronic diseases.
    2. adherence issues.
    3. violent tendencies.
    4. suicidal ideation.
  5. The process of motivational interviewing includes
    1. expressing sympathy.
    2. distancing.
    3. supporting self-efficacy.
    4. arguing.
  6. Change and the promise of change can be found in which scripture?
    1. Isaiah 65:17
    2. Matthew 7:12
    3. John 8:11
    4. James 1:14
  7. Phase one of motivational interviewing involves
    1. assessing readiness for change.
    2. assessing commitment to change.
    3. establishing rapport.
    4. establishing priorities.
  8. In phase one of motivational interviewing, which should be performed?
    1. TRAPS
    2. OARS
    3. BOAT
    4. MAST
  9. Phase two of motivational interviewing involves addressing
    1. responsibility for change.
    2. readiness and commitment to change.
    3. the agenda.
    4. the goals.
  10. Key factors for recognizing readiness to change include all except
    1. reading about other's commitment to change.
    2. questions about change.
    3. envisioning.
    4. experimenting.
  11. A helpful tool in motivational interviewing to assess the importance of change to patient is the use of
    1. journaling.
    2. life stories.
    3. rulers or scales.
    4. questionnaires.
  12. Which offers cues for what to listen to in commitment to change?
    1. DARN
    2. REWARD
    3. TEAM
    4. SMART
  13. In which stage of change does the individual intend to take action but is not quite ready?
    1. precontemplation stage
    2. comtemplation stage
    3. preparation stage
    4. action stage
  14. During the preparation stage of change, which are becoming important to the patient?
    1. actions
    2. goals
    3. immediate results
    4. long-term results
  15. During the action stage of change, which should be offered?
    1. empathy
    2. temptation
    3. reasoning
    4. praise
  16. During the maintenance stage of change, the individual has stopped the unwanted behavior for more than
    1. 3 months.
    2. 6 months.
    3. 9 months.
    4. 12 months.
  17. Which plan can help nurses and patients develop behavioral change plans?
    1. DARN
    2. REWARD
    3. TEAM
    4. SMART
  18. What does the “A” in the behavioral change plan stand for?
    1. actionable
    2. attitude
    3. achievable
    4. assess


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