Motivational Interviewing Flashcards

1
Q

What are the 5 stages of change?

A
  1. precontemplation
  2. contemplation
  3. preparation
  4. action
  5. maintenance
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2
Q

What is a closed question?

A

a question that suggests all you want to know is specifically what you ask.

yes/no is just a example

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3
Q

What is an open question?

A

a question that allows for further conversation

what do you do about missing doses of your medication?

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4
Q

Where does ambivalence come from in this setting?

A

the patient will know the reasons for making the change, but are resistance to change and can find plenty of reasons not to change

this effectively makes them stop thinking about change

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5
Q

What are some strategies for dealing with resistance?

A
  1. avoid arguing or lecturing
  2. reflect and offer empathy
  3. then cnecourage the patient to come up with a new perspective to solve the problem - askw hat worked in the past
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6
Q

What constitutes good listening skills?

A

eye contact
reflect what you hear every 1-2 min
silence is ok
sometimes just say - how difficult, i’m sorry
be honest about time limits
listen for tone of voice - they may be frustrated
summarize early and often - conveys that you’re listening

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7
Q

What are some reasons a patient may not hear you?

A
bewildered
overwhelmed
high emotion
mood
distractions
white coat syndrome
wants to look good for you
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8
Q

What are some examples of things that will really motivate people toward change

A

Activities, identify and values

activities; recreation, relationships, sex, work, family

identities: good parent, spiritual, good christian, good spouse, responsible
values: considerate, independent, disciplined, strong, successful

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9
Q

What are some potential sources of resistance?

A
rigid personality
sees no benefit to the change
consequences of change unknown or undesirable
behavior or effort to change seen as overwhelming
belief that change is not possible
depression
no support
dollar cost
not ready for it
religious beliefs
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