True or False?
The purpose of MI is for the practitioner to provide solutions to the client’s problems/challenges.
FALSE! -> The purpose is to help participants strengthen their own internal motivation to achieve a specified change
The 4 processes in an MI conversation are: Engaging, Focusing, ________, Planning
Evoking!
"I went to my first sharing circle and it felt good to let things off my chest"
Taking Steps!
Give me an example of an open ended question
ex: How much do you drink?
"What role does alcohol play in your life?"
A nurse is utilizing Motivational Interviewing (MI) techniques while engaged in an encounter with a new mom struggling with SUD. Which of the following responses and associated techniques are not consistent with MI?
A) "can we discuss your recent urine toxicology drug screen that was positive for opiates?" (asking permission)
B) "where are you on a scale of 0-10 in readiness to consider a change in your use of heroin?" (assess readiness
C) "you should abstain from alcohol and go to alcoholic anonymous meetings every day" (giving advice)
D) "it sounds like you have started to consider alternative living options that might promote recovery" (reflective listening)
C) "you should abstain from alcohol and go to alcoholic anonymous meetings every day" (giving advice)
The Transtheoretical Stages of Change are: Pre-contemplation, contemplation, Action à FALSE, what stage is missing? à Preparation
FALSE! The missing stage is preparation!
The 5 key skills to help steer your motivational interviewing are?: ________________, Affirmation, Reflective listening, and Summaries
Open-ended Questions!
"I think if I gave it my best...I could reduce how much I gamble"
Ability
Give me an example of Affirmation
Ex: “I can’t believe it. I was sober for 21 days and I blew it this weekend by going out and partying.”
“21 days sober is an incredible achievement.”
Which of the following words is NOT used to describe the spirit of Motivational Interviewing (MI)?
A) collaboration
B) expertise
C) evocation
D) autonomy
B) Expertise
DARN Preparation language stands for : Desire, Ability, Reason, and Need
TRUE
_______________: Reflection is a reflection that is unchanged from the original statement
_______________: reflections go beyond what the participant stated out loud
(Complex & Simple)
Simple Reflection is a reflection that is unchanged from the original statement
Complex reflections go beyond what the participant stated out loud
"I'm sick of it. I wish I could be able to stop drinking"
Desire
Give me an example of a reflection
Ex: "I don’t like how I much I black out when I use, it scares me"
“It sounds like you’re worried about the potential of the unknown when you use.”
Motivational Interviewing techniques are most effective during which 2 stages of change?
A) action and relapse
B) relapse and maintenance
C) Pre-contemplative and contemplative
D) Pre-contemplative and action
C) Pre-contemplative and contemplative
CATS language signals that The change under discussion is imminent. (Commitment, Activation, and Taking Steps)
True!
______________ Talk : Language spoken by the participant that indicates a desire, reason, need, or ability to pursue the targeted change. Or language that peaks to readiness willingness and ability to change
______________: Language spoken by the participant that ultimately could be used for an argument against pursuing change in the target behavior
(Change Talk & Sustain Talk)
Change Talk : Language spoken by the participant that indicates a desire, reason, need, or ability to pursue the targeted change. Or language that peaks to readiness willingness and ability to change
Sustain Talk: Language spoken by the participant that ultimately could be used for an argument against pursuing change in the target behavior
"I am going to tell my brother about my suicidal thoughts tomorrow when I see him"
Commitment
Give me an example of a scaling question
“On a scale of 1-10, how much of a impact is your alcohol consumption having on your employment"
A nursing instructor is conducting a class on motivational interviewing (MI) techniques. Which of the following statements should not be included in the lecture?
A) MI is consistent with the QSEN competency of patient-centered care
B) MI supports the nurse providing unsolicited evidenced-based info about SUD
C) MI identifies the need to assess the patient's readiness to change a behavior
D) MI supports the nurse to "roll with resistance"
B) B) MI supports the nurse providing unsolicited evidenced-based info about SUD
The Spirit of Motivational Interviewing consists of 4 values: Partnership, Acceptance, Communication, and Evocation
“On a scale of 1-10, how much is your drug use affecting your ability to work?” is an example of a ______________ question?
Scaling Question
"If I don't quit partying, I am going to fail my course"
Reason
Give me a summary
ex: "I want to move to safer area, especially for my kids. It would be great to move near their grandmas. But then again I would have to change doctors and my kids would have to change schools"
"If I understand you correctly you seem to be weighing a number of positive ad negative options. On one hand, moving to a safer area, near your kids grandparents would be positive. But on the downside, you would have to find new doctors and your kids would be in a new school."
Which of the following statements are examples of open-ended questions that might be utilized with MI during an encounter with an individual struggling with SUD? (SELECT ALL THAT APPLY)
A) "help me to understand what lead to your continued use of heroin"
B) "where do you get your needles to use heroin?"
C) "tell me more about your decision to start using heroin"
D) "why do you use heroin?"
A & C
A) "help me to understand what lead to your continued use of heroin"
C) "tell me more about your decision to start using heroin"