Motivational Interviewing

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What are the stages of change?
- Pre-contemplation
- Contemplation
- Preparation
- Action
- Maintenance
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)
Contemplation:

Definition:

Goal:
Ambivalence, thinking about it a little bit
- Validate their ambivalence
- Reinforce reasons to change
- Encourage exploring
- Autonomy
- Invite back
Preparation:

Definition:

Goal:
Ready to change
- Praise
- Problem solve
- Plan
- Barriers
- Social Support
- Autonomy
Action:

Definition:

Goal:
Implement new behaviors - empower the person
- Support
- Acknowledge difficulties
- Plan for high-risk situation
- Education
Maintenance:

Definition:

Goal:
Relapse prevention
- Review benefits
- Praise!!
- Find any triggers or difficulties
- Recognition
(There are less times of temptation and maintain contact)
Relapse:

Definition:

Goal:
Person resumes negative behavior
- Assess stage of change
- Assess trigger to relapse
- New interventions
Client centered means to give the patient back the ________

Control or autonomy)
Client centered means to give the patient back the ________

Control (or autonomy)
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
Asking permission builds _______

Rapport
Asking the patient about a typical day allows the nurse to point out the __________ to help guide the patient.

Triggers/Discrepancies

Author

wiscflor

7490

Card Set

Motivational Interviewing

Description

MI Psych

Updated

2010-02-21T00:15:35Z

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