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Motivational interviewing: A journey to improve health

doi: 10.1097/01.NURSE.0000444645.02625.94
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INSTRUCTIONS Motivational interviewing: A journey to improve health


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Motivational interviewing: A journey to improve health

GENERAL PURPOSE: To provide nurses with information about MI. LEARNING OBJECTIVES: After reading the article and taking this test, you should be able to: 1. Identify MI principles. 2. Select strategies for implementing MI.

  1. MI is a
    1. clinical communication skill used with patients.
    2. clinical communication skill used with colleagues.
    3. technique used to establish a patient's baseline knowledge.
    4. technique used to establish a family caregiver's baseline knowledge.
  2. Originally, MI was designed to help people with
    1. addiction.
    2. depression.
    3. heart failure.
    4. asthma.
  3. What's required to perform MI?
    1. the MI assessment tool
    2. a thorough health history
    3. a psychiatric consultation
    4. 5- to 10-minute intervals during patient care
  4. What does MI emphasize?
    1. self-directed patient education
    2. patients' perspectives and autonomy
    3. authoritarian advice-giving
    4. nurse-driven information sessions
  5. The goal of MI is
    1. behavioral change.
    2. improved nursing efficiency.
    3. patient satisfaction.
    4. patient engagement.
  6. What strategy should nurses use to express empathy?
    1. motivational listening
    2. reflective listening
    3. verbalizing gratitude
    4. identifying ambivalence
  7. To support self-efficacy, nurses should
    1. roll with resistance.
    2. accept patient ambivalence about change.
    3. encourage the patient's optimistic belief in the prospect of changing.
    4. develop discrepancy.
  8. When a patient is having difficulty changing behaviors, the nurse's priority should be to
    1. challenge the patient's resistance to change.
    2. highlight any behavioral successes the patient has had in the past.
    3. reemphasize the importance of behavioral changes to maintain health.
    4. discuss potential negative outcomes if the behavior doesn't change.
  9. The nurse can demonstrate rolling with resistance by
    1. offering a possible solution to a problem.
    2. guiding the patient toward his or her own solution.
    3. taking a confrontational stance.
    4. resisting the urge to argue for a behavior change.
  10. The Transtheoretical Model is a framework for
    1. health behavior change.
    2. self-efficacy development.
    3. motivational interviewing strategies.
    4. nursing behaviors that communicate empathy.
  11. MI is particularly useful for patients in which stage of behavior change?
    1. precontemplation
    2. contemplation
    3. preparation
    4. action
  12. Which key word indicates a patient's ambivalence about making a change?
    1. if
    2. but
    3. can't
    4. maybe
  13. When a patient should make many life changes, the nurse should
    1. identify the change that's most needed.
    2. consult with the healthcare provider about which change is most important.
    3. help the patient prioritize the changes he or she wants to work on first.
    4. encourage the patient to make most needed changes as quickly as possible.
  14. T demonstrates change talk with the phrase
    1. “I'm going to have to...”
    2. “I know I need to change, but...”
    3. “I just can't do that because...”
    4. “I guess I'm pretty confident that I can...”
  15. The authors suggest using a 0-to-10 scale to rate
    1. the patient's willingness to change.
    2. the degree of nurse empathy perceived by the patient.
    3. the patient's confidence about his or her ability to make a change.
    4. the degree of success the patient has had in making incremental changes.
  16. In the scenario, the nurse supports T's self-efficacy by asking him about
    1. his long-term goals.
    2. how he lost weight in the past.
    3. why he doesn't adhere to his medication plan.
    4. the pros and cons of making lifestyle changes.
  17. Using the ask-provide-ask technique about disease management, the nurse first asks the patient
    1. if it's okay to share information with the patient.
    2. what the patient already knows.
    3. what the healthcare provider has told the patient.
    4. when the patient would like to learn more.
  18. Which statement best summarizes the author's view about MI?
    1. It consists of a series of techniques that may undermine the clinician-patient relationship if not used skillfully.
    2. It can support patients who feel responsible, empowered, and confident.
    3. It can help clinicians become more optimistic about patients' need to change.
    4. Skillful clinicians can evoke patient self-reflection, motivating patients to change behaviors.


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