Module 4: The Spirit of Motivational Interviewing

Question 1

The Spirit of MI

Answer 1

• Think PACE*
• Partnership
• Acceptance
• Compassion
• Evocation

Question 2

The 4 Principles of MI

Answer 2

• REDS
• Roll w/ resistance
• Express empathy
• Develop discrepancy
• Support self-efficacy

Question 3

The Micro-skills of MI

Answer 3

• OARS
• Open-ended questions
• Affirmations
• Reflections
• Summaries

Question 4

What is included in change talk?

Answer 4

• DARN
• Desires
• Ability
• Reason
• Need

Question 5

What is included in commitment?

Answer 5

• CAT
• Commitment (intention, desire)
• Activation (ready, prepared)
• Taking steps

Question 6

Express empathy

Answer 6

• Acceptance Facilitates Change
• Reflective Listening is Essential
• Ambivalence is Normal

Question 7

How do you raise the subject?

Answer 7

• Request permission to discuss unhealthy behavior

- Do you mind if we spend a few minutes talking about your blood pressure?

Question 8

Develop Discrepancy

Answer 8

-Create and amplify a discrepancy between where the client is now and where they want to be

Question 9

Behavior Gap

Answer 9

• The difference between where they are now and where they want to be
• Relationship between behavior and situation
• If it’s too small, they don’t recognize that the behavior leads to the issue

Question 10

Rolling with Resistance

Answer 10

• Acknowledge reluctance and ambivalence as natural and understandable
• Invite new perspectives the come from the client

Question 11

Support Self-Efficacy

Answer 11

• Affirmations

- Clinician perspective: “If You’d Like, I Can Help You Change”

Question 12

Affirmations

Answer 12

• Positive statements of appreciation for the client and their strengths
• Builds feeling of empowerment
• Builds self-efficacy