SBIRT Quiz with complete solution 2023Brief intervention steps
1. raise the subject
2. provide feedback
3. offer advice
4. enhance motivation
5. negotiate a plan
Raise the subject
Engage the patient by asking permission to talk about their substance abuse and assess risks
Ex. Would...
SBIRT Quiz with complete solution 2023
Brief intervention steps - correct answer 1. raise the subject
2. provide feedback
3. offer advice
4. enhance motivation
5. negotiate a plan
Raise the subject - correct answer Engage the patient by asking permission to talk about their substance abuse and assess risks
Ex. Would you mind taking a few minutes to talk about your screening?
Provide feedback - correct answer -Point out the patients substance misuse and how it puts them at risk for health problems - explore connections b/w health problems and substance abuse
Offer advice - correct answer - reinforces patient autonomy but encourages thinking about change
-ex: I would like you to consider cutting down on your alcohol use
Enhance motivation - correct answer - 1. ask about the pros and cons of use
- ex: tell what you like about your drinking now what's not so good about your drinking -2. ask the patient to rate their readiness to change on a scale of 1-10
- ex: we've been talking about the risk and pros and cons of drinking. On a scale of 1-
10, how ready are you to make a change?
Negotiate a plan - correct answer - summarize the discussion
- even if patient doesn't want to address subject, reinforce positive action
-ex: we are talking about your health. this is your decision
Readiness Ruler - correct answer - help patients think about change in a concrete and
specific way
- encourage the patient to talk about reasons for change
- ask patient why they didn't rate their readiness lower elicits talk about reasons to change
Decisional balance - correct answer - patient considers the pros and cons of their current behavior and the pros and cons of changing their behavior
- asking about pros and cons can foster internal motivation
Generate a commitment - correct answer - this should follow after patient begins to talk about change
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