Motivational Interviewing - MI

Question 1

Purpose of MI

Answer 1

+ originally for substance abuse/addiction
+ now included for behavioral change - dietary change, smoking cessation, physical activity changes

Question 2

MI evidenced-based outcome:

Answer 2

+ help pt become aware of ambivalence to negative behavior
+ motivation for behavior change

Question 3

OARS stands for…

Answer 3

O - open questions
A - affirmations promoting positive feelings
R - reflections showing nurse heard/understood pt
S - summaries - build reflections to foster to making changes

Question 4

General principles of MI

Answer 4

1. Express empathy
2. Develop discrepancies (between actions and behavior)
3. Roll with resistance (ambivalence to change)
4. Support self-efficacy

Question 5

Ambivalent “speech” includes…

Answer 5

“But” - I know I need to lose weight BUT I love sweets

Question 6

Change talk includes…

Answer 6

“I want to…”
“I can…”
“I want….”
“I have to…”

Question 7

Stages of patient’s change in MI - 5

Answer 7

+ precontemplation
+ contemplation
+ preparation
+ action
+ maintenance

Question 8

MI techniques to move forward in conversation/process

Answer 8

1. Ask pt to elaborate before moving on
2. Look forward - help pt see diff future picture
3. Ask - provide - ask
4. Explore pros & cons
5. Ask evocative questions