PHMD 5140 - Motivational Interviewing Exam 2
Questions And Answers
What is Motivational Interviewing (MI)
•A collaborative, person-centered form of guiding to elicit and strengthen a person's
own motivation and commitment to change.
•A clinical or communication method and complex skill that is learned with considerable
practice over time.
what is the difference between other health behavior models and motivational
interviewing?
-other health behavior models = focus on assisting patients to make a change
-Motivational interviewing = focuses on helping patients make a decision to change
MI: the middle ground
- Used both instructing and listening to guide the patient (somewhere in the middle)
Spirit of Motivational interviewing, 4 central components
-partnership
-Acceptance
-Compassion
-Evocation
Partnership
,sharing the power and expertise; collaborating
Acceptance
•Autonomy- patient makes the decision
•Accurate empathy- understanding
•Absolute worth- lack of judgement
•Affirmation- acknowledging strengths
Compassion
•act benevolently to promote patient's welfare, giving priority to patient's needs
Evocation
inviting the patient's views, knowledge and opinions
4 process of MI
Engaging
Focusing
Evoking
Planning
engaging
establishing a mutually trusting and respectful helping relationship.
focusing
clarifying a particular goal or direction for change
Evoking
, eliciting the person's own motivation for a particular change.
Planning
developing a specific change plan that the patient is willing to implement.
Change talk
•Any patient speech that favors movement toward a particular change goal.
DARN-C
•Desire- “I want to …”
•Ability- “I can…”
•Reason- ”I should because…”
•Need- “If must…”
•Commitment- “I might…I’ll try…I will”
What do we do with change talk ?
primary goal to increase quantity of change talk by:
Evoke it
Recognize it
Respond to it
Ambivalence
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