A nurse is using motivational interviewing (MI) to help a patient consider changing alcohol use. Which nurse responses align with MI principles? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
MI uses OARS — Open questions, Affirmations, Reflections, Summaries — to elicit the patient OWN reasons for change (change talk) while honoring ambivalence. Choice 5 (confrontation) violates MI; lecturing increases resistance and backfires. MI spirit is collaborative, evocative, and respects patient autonomy.
MI replaces the older "expert-confront-cure" model. The four MI principles are RULE — Resist the righting reflex, Understand motivation, Listen with empathy, Empower autonomy. Change talk (DARN — Desire, Ability, Reason, Need) signals readiness; sustain talk indicates ambivalence to be reflected, not argued.
Patient with alcohol use disorder, contemplative stage. The nurse uses motivational interviewing (MI) with OARS skills (Open question, Affirm, Reflect, Summarize) to elicit change talk without arguing for change.
Motivational interviewing (MI) — Patient-centered counseling style for evoking change by exploring and resolving ambivalence; evidence-based for substance use, chronic disease.
OARS — Open questions, Affirmations, Reflections, Summaries — the four core skills of MI.
Stages of Change (Prochaska) — Precontemplation, contemplation, preparation, action, maintenance, relapse — MI tailored to stage.