Motivational Interviewing

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Author:
wiscflor
ID:
7490
Filename:
Motivational Interviewing
Updated:
2010-02-20 19:15:35
Tags:
Psych2
Folders:

Description:
MI Psych
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  1. What are the stages of change?
    • Pre-contemplation
    • Contemplation
    • Preparation
    • Action
    • Maintenance
  2. Pre-contemplation:

    Definition:

    Goal:
    Very little intention to change

    • Develop rapport not resistance
    • Explore concerns
    • Invite back
    • Validate

    (Resist the "righting reflex", don't tell patients what to do...they'll let you know when they're ready)
  3. Contemplation:

    Definition:

    Goal:
    Ambivalence, thinking about it a little bit

    • Validate their ambivalence
    • Reinforce reasons to change
    • Encourage exploring
    • Autonomy
    • Invite back
  4. Preparation:

    Definition:

    Goal:
    Ready to change

    • Praise
    • Problem solve
    • Plan
    • Barriers
    • Social Support
    • Autonomy
  5. Action:

    Definition:

    Goal:
    Implement new behaviors - empower the person

    • Support
    • Acknowledge difficulties
    • Plan for high-risk situation
    • Education
  6. Maintenance:

    Definition:

    Goal:
    Relapse prevention

    • Review benefits
    • Praise!!
    • Find any triggers or difficulties
    • Recognition

    (There are less times of temptation and maintain contact)
  7. Relapse:

    Definition:

    Goal:
    Person resumes negative behavior

    • Assess stage of change
    • Assess trigger to relapse
    • New interventions
  8. Client centered means to give the patient back the ________
    Control or autonomy)
  9. Client centered means to give the patient back the ________
    Control (or autonomy)
  10. The principles of motivational interviewing are:

    Empathy:
    Discrepancies:
    Roll with resistance:
    Self-efficacy:
    Listening/reflecting back to them

    • Resist "right reflex"
    • Understand client's motivations

    Adapt to what they say

    • Tell patient they can change
    • Point out small steps they have done
  11. Asking permission builds _______
    Rapport
  12. Asking the patient about a typical day allows the nurse to point out the __________ to help guide the patient.
    Triggers/Discrepancies

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