Spirit of MI
This word describes working with the patient rather than on them.
What is collaboration?
The “O” in OARS stands for this skill used to encourage conversation.
What is open-ended questioning?
“I really want to feel more energetic again” is an example of this type of talk.
What is change-talk?
Asking, “What matters most to you as you start this new medication?” demonstrates this MI principle.
What is exploring values?
This phrase shows empathy: “It sounds like you’ve been juggling a lot.”
What is reflective listening?
One of the four elements of the MI spirit that means honoring the patient’s right to make choices about their own care.
What is autonomy?
The “A” in OARS is this type of statement that builds rapport and self-efficacy.
What are affirmations?
“I’ve tried before, and it never works” represents this type of talk.
What is sustain talk?
When a patient says, “I know I should exercise, but I’m just too tired,” the nurse should first do this.
What is reflect or empathize?
Pausing before responding allows space for this therapeutic element.
What is processing or active listening?
This MI principle involves believing patients have within them the ability to change.
What is evocation?
This skill involves rephrasing what the patient has said to show understanding.
What are reflections?
Statements that express desire, ability, reason, or need for change are known as this.
What is change talk?
When the nurse says, “It sounds like you’ve been feeling discouraged,” she’s using this OARS skill.
What is reflection?
“Thank you for sharing that — I know it’s not easy” builds this type of connection.
What is trust or rapport?
Demonstrating genuine interest and concern is an example of this MI element.
What is compassion?
Summarizing what you’ve heard at the end of a call is an example of this OARS skill.
What are summaries?
“It’s not that bad yet” reflects this kind of resistance.
What is sustain talk?
Gently guiding the patient to find their own reasons for change shows this part of the MI spirit.
What is evocation?
Reflecting emotions instead of just facts helps the patient feel this.
What is being heard or understood?
Collaboration, compassion, evocation, and this final element make up the four pillars of MI spirit.
What is acceptance?
Asking, “What steps do you think would help most right now?” demonstrates this skill.
What is open-ended questioning?
Reflecting and gently exploring sustain talk helps reduce this common barrier.
What is resistance or ambivalence?
The goal of MI is to strengthen this — the patient’s own motivation and ________.
What is commitment to change?
This combination of tone, pace, and silence helps convey deep understanding.
What is presence or empathy?