A client says, "Alcohol helps me relax after work, but my partner says my drinking is hurting our family. I am not sure I want to change." Which response by the nurse best uses motivational interviewing?
1Your partner is right, and you need to stop drinking before the family leaves
2I will give you a list of treatment programs to choose from before discharge
3You should avoid thinking about the benefits of drinking because they are harmful
4Alcohol helps you relax, yet you are also worried about its effect on your family✓ Correct answer
Explanation
The response uses a double-sided reflection that acknowledges both sides of the client's ambivalence without arguing or rushing to a plan. Motivational interviewing supports self-exploration through reflective listening and client-centered questions.
Quick answer Reflect both the perceived benefit and the family concern without judgment. This invites the client to explore ambivalence.
Why this is correct Motivational interviewing avoids confrontation and draws out the client's own reasons for change. A balanced reflection shows accurate listening and keeps responsibility for deciding and planning with the client.
Easy analogy or mental picture The nurse holds up a mirror that shows both sides of the client's conflict. The mirror helps the client examine it, but the analogy does not mean ignoring immediate safety risks or withholding treatment information when requested.
Memory hook Ambivalence means reflect both sides before pushing an action plan.
NCLEX decision rule When a client is unsure about behavior change, use open questions, affirmations, reflections, and summaries. Avoid confrontation, unsolicited persuasion, and premature planning before readiness is explored.
Why the other choices are wrong Threatening consequences creates resistance. Handing over a plan too early bypasses readiness, and denying the perceived benefit prevents honest exploration of why the behavior continues.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
SAMHSA TIP 35: Motivational InterviewingSubstance Abuse and Mental Health Services Administration