Exam 3: motivational interviewing, the basics Flashcards

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1
Q

Motivation interviewing definition: what are the 4 components?

A
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2
Q

What is the definition of motivational interviewing?

A

“Motivational interviewing is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence.”

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3
Q

What is ambivalence?

A

Uncertainty or fluctuation, especially when caused by inability to make a choice or by a simultaneous desire to say or do two opposite or conflicting things.

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4
Q

What are synonyms of ambivalence?

A
  • Hesitation
  • Indecision
  • Uncertainty
  • Inconclusivenes
  • Quandary
  • Iffiness
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5
Q

What are the tasks of MI?

A
  • Engage, building an alliance & working relationship with patients.
  • Focus on what’s important to the patient regarding behavior, health, and welfare. A shared idea about the main focus.
  • Evoke the patient’s personal motivation for change. Bringing out the patient’s own arguments for change
  • Planning, begins when the patient is willing to envision change & how they go about making it.
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6
Q

Motivating often means what?

A

resolving conflicting & ambivalent feelings & thoughts

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7
Q

Spirit of MI

A way of being with patients that is… (4)

A

A way of being with patients that is…
* Collaborative
* Evocative
* Respectful of autonomy
* Compassionate

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8
Q

Spirit of MI

  • What is not collaboration?
  • What is collaboration?
  • What should you encourage?
A
  • Not confrontation
  • Developing a partnership in which the patient’s expertise, perspectives, and input are central to the consultation
  • Fostering and encouraging power sharing in the interaction
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9
Q

Spirit of MI

  • Evolation is not what?
  • Motivation resides where?
  • What is evocation?
  • Ask what?
A
  • Not education
  • Motivation for change resides within the patient.
  • Motivation is enhanced by eliciting and drawing on the patient’s own perceptions, experiences, and goals.
  • Ask key open-ended questions.
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10
Q

Spirit of MI

What is Autonomy?

A
  • Respecting the patient’s right to make informed choices facilitates change.
  • The patient is in charge of his/her choices and thus is responsible for the outcomes.
  • Emphasize patient control and choice.
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11
Q

Spirit of MI

What is compassion?

A
  • Empathy for the experience of others
  • Desire to alleviate the suffering of others
  • Belief and commitment to act in the best interests of the patient
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12
Q

What MI Is Not? (6)

A
  • A way of tricking people into doing what you want them to do
  • A specific technique
  • Problem solving or skill building
  • Just patient-centered therapy
  • Easy to learn
  • A panacea for every clinical
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13
Q

MI is founded on 4 basic Principles:

A
  • Express empathy.
  • Develop discrepancy.
  • Roll with resistance.
  • Support self-efficacy.
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14
Q

Prinicpals

Empathy:
* Reflects what?
* Assumes what?
* seeks to do what?
* Encourges what?

A

Reflects an accurate understanding
* Assumes the person’s perspectives are
understandable, comprehensible, and valid
* Seeks to understand the person’s feelings and perspectives without judging
* Encourages a collaborative alliance, which also promotes change

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15
Q

What are tips when expressing empathy?

A
  • Good eye contact
  • Responsive facial expression
  • Body orientation
  • Verbal and nonverbal “encouragers”
  • Reflective listening/asking clarifying questions
  • Avoid expressing doubt/passing judgment
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16
Q

Develop Discrepancy?
* What is an example?

A
17
Q
A
18
Q

What are examples of Roll With Resistance?

A
19
Q

What is self confidence? What is self efficacy?

A
20
Q

Support Self-Efficacy:
* Patients are responsible for what?

A

Patients are responsible for choosing and carrying out actions to change.

21
Q

Motivational Interviewing Core Skills & Strategies (4)

A
22
Q

What are open ended questions?

A
23
Q

Closed-Ended Questions are for what?
* What does it convey?

A
24
Q

What are affirmations?

A
25
Q

Why affirm?:
* Support and promotes what?
* Builds what?
* Reinforce what?
* What is the caveat?

A
26
Q

What is reflective listening?

A
27
Q

What is simple reflection? What an example?

A
28
Q

What is complex reflexion?
* What are examples (2)

A
29
Q

Summaries?

A
30
Q

What are some summary starter sentences?

A