Motivational Interviewing

Question 1

what is the main goal of MI

Answer 1

to evoke motivation from within the client

Question 2

what does RULE stand for

Answer 2

Resist Right reflex
understand client motivations
listen with empathy
empower the client

Question 3

what is R in RULE

Answer 3

Resist righting reflex

• instead of immediately “correcting” any info or viewpoints the client has, give information slower and properly within the conversation
• do not want to straight tell the client they are wrong or misinformed, that is aggressive

Question 4

what is U in RULE

Answer 4

Understand clients motivation

• QEP knows a lot of reasons to change behavior, but only the clients reasons really matters
• have to draw these out
• use what the client thinks they need

Question 5

what is E in RULE

Answer 5

Empower the client

• empower to them to take action as much as they can
• give them autonomy and choice
• they should feel they are self powered and self driven

Question 6

What is directing and when should it be used

Answer 6

when client explicitly wants help with something, and they don’t know where to start or how to attack the situation
should not be used if client in ambivalent

Question 7

what is following and when should it be used

Answer 7

following what the client is saying, teasing out information, see where they are going with the conversation and their habits
can’t continue forever though because then the client will remain stuck in their own habits

Question 8

what is guiding and when should it be used

Answer 8

combo between directing and following
use client suggestions to expand Idas and nudge them towards new ideas (built off their base)
use to suggest options they may not see
they still make the actual decision

Question 9

what does OARS stand for and what does it describe

Answer 9

open questions
affirmations
reflection
summarization

describes types of way of speaking with the client

Question 10

what are open questions

Answer 10

questions that allow the client to elaborate and share information about themselves
-who, what, where, when, why, how

Question 11

what are affirmations

Answer 11

confirming and noting a clients belief in their progress, lending confidence to their current state

Question 12

what are reflections

Answer 12

take what client has said and feed it back to them in your own words
makes sure you understand the clients message
the clients sees you re actively listening

Question 13

what are summarizations

Answer 13

taking whole conversations, paring it down, and feeding it back to the client
checks that you and the client are on the same page
is a good Segway to the next part of the conversations

Question 14

what are the four steps of an MI session

Answer 14

Engaging
Focussing
evoking
Planning

Question 15

What is the engaging part of an MI

Answer 15

building rapport, getting to know the client

understand why they are there

Question 16

What is the focussing part of an MI

Answer 16

focus on an agenda, a goal
be collaborative
what do they want to improve

Question 17

What is the evoking part of an MI

Answer 17

draw out motivations of the client, 
bring out past confidences and success, 
how might they succeed in the future, 
what do they want to achieve, 
can provide some information and give them ideas

Question 18

What is the planning part of an MI

Answer 18

what, when and where they are changing their behavio

not pushing the client to a goal - drawing the goal out of the client

Question 19

what is the role of the QEP in MI

Answer 19

QEP uses own expertise to enhance the motivations and goals that are already present in the client

Question 20

what is listening with empathy

Answer 20

listen to client with an open mind, put yourself in their shoes, have zero judgements for what they tell you
understand their POV, perceptions and ideas