Motivational Interviewing

Question 1

link with trans theoretical change model

Answer 1

• draw this out
• relates to behaviour change and motivating those to change behaviour
• there are parallels with the model

Question 2

why do nurses avoid challenging change

Answer 2

• the mum effect: tendency to withhold bad news even when its in the others best interest to hear it
• excuses for why we are reluctant to challenge

Question 3

excuses for why we are reluctant to challenge

Answer 3

• don’t want to intrude on another life
• could get out of control and be judgemental
• may uncover and issue I can’t handle
• want clients to like me

Question 4

4 principles of MI

Answer 4

• express empathy
• support self-efficacy
• develop discrepancy
• roll with resistance

Question 5

4 skills of MI

Answer 5

• OARS
• open ended questions
• affirmations
• reflective listening
• summary

Question 6

4 processes of MI

Answer 6

• engage: establish working relationship
• focus: clarify their agenda
• evoke: elicit their reasons for change
• plan: develop and commit to a plan of action

Question 7

ambivalence

Answer 7

• simultaneously holding contradictory feelings or attitudes

- having mixed feelings

Question 8

pathways of ambivalence

Answer 8

• sustain talk

- change talk

Question 9

sustain talk

Answer 9

• talking about the known hypothesis
• wanting to stay the same
• no real motivation for change

Question 10

change talk

Answer 10

• thing you would do that stimulates change

- not immovable or frozen

Question 11

understanding change talk and readiness to respond

Answer 11

- have clients say:
desire
ability
readiness
need
commitment
- summarize 
- can use pros and cons if low importance score

Question 12

understanding sustain talk and readiness to manage

Answer 12

• can use reflective listening strategies of straight, amplified, or double sided
• emphasize autonomy
• pros and cons
• coming alongside (agreeing with patient to show them how bad they are making it seem to be: “this is hard, maybe its better for you to die” get ore from text

Question 13

straight reflective listening

Answer 13

• paraphrase what person has said

- its a relentless disease. you’re thinking your efforts to mange it are in vain

Question 14

amplified reflective listening

Answer 14

• Reflect back what your client has said in an exaggerated or extreme way
• since there’e no stopping it, giving up is the best option

Question 15

double-sided reflective listening

Answer 15

• It’s a short summary of both sides of the ambivalence

- you’re in a battle everyday. you want to give in and you think of ways to manage