A client who smokes says, "I know smoking is bad, but I am n… | MyMerci
Health Promotion/Disease PreventionHPM
Question
A client who smokes says, "I know smoking is bad, but I am not ready to quit." Which response uses motivational interviewing?
1You must quit today or treatment will not work.
2There is nothing to discuss until you decide to quit.
3What do you like about smoking, and what concerns do you have about it?✓ Correct answer
4I will schedule you for surgery to stop smoking.
Explanation
Motivational interviewing explores ambivalence using open-ended questions, reflection, and respect for autonomy. Asking about perceived benefits and concerns invites discussion without judgment. Threats, dismissal, or unrealistic interventions are not therapeutic.
In-depth explanation
Clinical Judgment Behavior change starts with readiness and ambivalence, not pressure.
Memory Tip Ask, listen, reflect.
Clinical scenario
Clinical Practice Guide Smoking cessation counseling can include motivational interviewing, pharmacotherapy options, follow-up, and referral to quit resources.
Caution Respect for autonomy improves engagement.
Key concepts
Motivational Interviewing — A counseling approach that explores ambivalence and supports behavior change.
Ambivalence — Having mixed feelings about changing a behavior.
Autonomy — The person's right and capacity to make choices.