Spot that DARN CAT!
"I went to my 1st sharing circle and it felt good to let things off my chest."
Action Taken
Give me an example of an open-ended question you can ask to see how much someone is drinking?
What role does alcohol play in your life?
What does drinking look like for you?
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?"
B) "where are you on a scale of 0-10 in readiness to consider a change in your use of heroin?"
C) "you should consider abstaining from alcohol and go to alcoholic anonymous meetings every day"
D) "it sounds like you have started to consider alternative living options that might promote recovery"
C) "you should consider abstaining from alcohol and go to alcoholic anonymous meetings every day"
"You're very determined, even in the face of discouragement. This change must be really important to you."
Affirmation
Change this so it's open-ended:
"How are you doing today?"
"Tell me about your day..."
"I think if I gave it my best...I could reduce how much I gamble."
Ability
Give me an example of an affirmative statement you could use that sounds genuine, if someone says this to you: "I can't believe I was sober for 21 days and blew it this weekend by 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
"So you've thought about leaving, but there are some challenging barriers that make you feel stuck."
Reflective listening
Change this so it's open-ended:
"Would you like to move to a safer place?"
"What are the advantages that you see in moving?"
"I'm sick of it! I wish I could stop drinking."
Desire
Give me an example of a reflection you could give to the following statement: "I don't like how much I black out when I use, it scares me."
"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
"What are your thoughts about getting a new job?"
Open-ended question
Change this so it's open-ended:
"Do you have a past history of mental health issues?"
"What's your experience been like when you've reached out for help from professionals in the past?"
"I am going to talk to my brother about my suicidal thoughts tomorrow when I see him."
Committment
Give me an example of a scaling question you could give to an employee concerned about alcohol usage, using the readiness ruler.
"On a scale of 1-10, how much of an impact is your alcohol consumption having on your job?"
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) "help me to understand what lead to your continued use of heroin"
C) "tell me more about your decision to start using heroin"
"So it sounds like you really want the emotional turmoil to end."
Reflective Listening
Change this so it's open-ended:
"How many times a week do you smoke marijuana?"
"Tell me about your marijuana usage."
"If I don't quit, I'm going to lose my job."
Reason
Provide a summary for the following statements given to you by a caller: "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."
The 4 processes in an MI conversation are: Engaging, Focusing, ________, Planning
Evoking!
“This friendship really evokes some strong feelings for you. On the one hand you’re drawn to him. You’ve never quite known anyone like him. At the same time his perspective sometimes borders on the bizarre, and his insights can creep you out occasionally. You’re drawn toward him and drawn away from him simultaneously. Both things are true, and it leaves you feeling confused about this relationship.”
Summary
Change this so it's open-ended:
"Is there any child abuse in the home?"
"Tell me how discipline in handled in the home with the children."