Brief Intervention Quiz: Sample Questions Flashcards
While the nurse was working to enhance motivation for a patient to decrease his level of alcohol intake, the patient empathetically said, “I do not think that drinking 7 beers a night is a problem!” Which reply is best?
A) So you don’t believe that drinking 7 beers a night is a problem…
B) Well it is, and you need to cut down.
C) The research is very clear, and you are incorrect because it can have major impact on your health.
D) Ok, but let’s develop some goals to assist you in decreasing your alcohol intake.
A) So you don’t believe that drinking 7 beers a night is a problem…
*The nurse is using reflection back to the patient which is a great communication technique to use when the patient is resistant. This is an example of Rolling with Resistance.
For this question, mark all answers that apply. Which statements can be used with the readiness ruler?
A) On a scale of 1 to 10, point to the number how ready you are to change.
B) On a scale of 1 to 10, point to the number indicating how important it is for you to change.
C) On a scale of 1 to 10, point to the number indicating how confident you are that you can change.
D) You rated your readiness to change at a 5, why not a 1 or a 2?
E) You rated your readiness to change at a 5, what would it take to make it an 8 or 9?
A) On a scale of 1 to 10 point to the number how ready you are to change
B) On a scale of 1 to 10 point to the number indicating how important it is for you to change
C) On a scale of 1 to 10 point to the number indicating how confident you are that you can change
D) You rated your readiness to change at a 5, why not a 1 or a 2?
E) You rated your readiness to change at a 5, what would it take to make it an 8 or 9?
*They’re all correct
During a brief intervention the college student stated, “I don’t drink more than my friends, and I don’t want to decrease my drinking.” Which reflection could the nurse use?
A) My advice is just to lower your drinking a little at a time.
B) You have strength of character, I believe you can change.
C) So, you don’t want to drink less, and your friends drink about the same amount as you do.
D) It takes courage to face a difficult situation.
C) So, you don’t want to drink less, and your friends drink about the same amount as you do.
*This is a reflection
The patient was in the outpatient clinic to follow up on his HTN. The nurse found he indulged in high-risk drinking. Which feedback is most helpful?
A) Your alcohol use is above safe limits, were you aware of that?
B) I am concerned about the effect of drinking on your health.
C) Your alcohol use is above safe limits and may be aggravating your BP.
D) Please consider cutting back on your drinking, it is at a high risk level.
C) Your alcohol use is above safe limits and may be aggravating your BP.
*This is the best answer because it ties in with the reason the patient is being seen.
The student is describing how much enjoyment she gets out of drinking and dancing at the local bars. Which statement helps develop discrepancy?
A) That does sound like you enjoy it, what other things to you have fun doing?
B) So you really care about your education, and sometimes your drinking affects your grades.
C) So you enjoy drinking and dancing with your friends.
D) I advise you to cut down on your drinking as that may cause health problems.
B) So you really care about your education, and sometimes your drinking affects your grades.
*This develops discrepancy between the drinking behavior and the fact that the patient values her education, but drinking is having a negative impact on it.
The nurse is talking with a hospitalized patient who was admitted for esophageal bleeding from alcohol use. The patient has not considered quitting drinking. What stage of change is the patient in?
A) Pre-contemplation
B) Contemplation
C) Preparation
D) Action
A) Pre-contemplation
*Not intending to take action in the foreseeable future, not in the next 6 months. They may be under-informed about consequences and/or demoralized about their ability to change.
