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