Podcast
Questions and Answers
In the NCP (Nutrition Care Process), which MI (Motivational Interviewing) process aligns with the assessment phase?
In the NCP (Nutrition Care Process), which MI (Motivational Interviewing) process aligns with the assessment phase?
During the diagnosis phase of the NCP, which MI process is most applicable when sharing potential topics to discuss based on the initial assessment?
During the diagnosis phase of the NCP, which MI process is most applicable when sharing potential topics to discuss based on the initial assessment?
Within the intervention stage of the NCP, what is the primary MI process used when a practitioner invites a client to voice their motivations for change?
Within the intervention stage of the NCP, what is the primary MI process used when a practitioner invites a client to voice their motivations for change?
During the 'Planning' stage of MI within the NCP, what action exemplifies guiding the client towards devising solutions for barriers to change?
During the 'Planning' stage of MI within the NCP, what action exemplifies guiding the client towards devising solutions for barriers to change?
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In the monitor and evaluation phase of the NCP, which activity reflects the 'Planning' stage of MI?
In the monitor and evaluation phase of the NCP, which activity reflects the 'Planning' stage of MI?
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A dietitian is working with a client to establish specific, measurable, achievable, relevant, and time-bound (SMART) goals. Which stage of MI within the NCP does this best represent?
A dietitian is working with a client to establish specific, measurable, achievable, relevant, and time-bound (SMART) goals. Which stage of MI within the NCP does this best represent?
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What type of question is most aligned with OARS (Open questions, Affirmations, Reflections, and Summaries) when starting a session?
What type of question is most aligned with OARS (Open questions, Affirmations, Reflections, and Summaries) when starting a session?
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A 45-year-old woman newly diagnosed with type 2 diabetes attends her first appointment. Which of the following questions, used in the spirit of OARS, would be most effective in initiating a conversation?
A 45-year-old woman newly diagnosed with type 2 diabetes attends her first appointment. Which of the following questions, used in the spirit of OARS, would be most effective in initiating a conversation?
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A client is hesitant to take iron supplements but wants to increase their iron intake. Following the Ask-Tell-Ask method, what should you do after providing them with a handout about iron-rich foods?
A client is hesitant to take iron supplements but wants to increase their iron intake. Following the Ask-Tell-Ask method, what should you do after providing them with a handout about iron-rich foods?
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A patient expresses concern about their weight but also mentions a desire to improve their overall health. What is the most appropriate initial response, according to the principles outlined?
A patient expresses concern about their weight but also mentions a desire to improve their overall health. What is the most appropriate initial response, according to the principles outlined?
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A client mentions their doctor said their A1C levels are slightly elevated and expresses worry about diabetes. Using the Ask-Tell-Ask method, what is the most suitable first step?
A client mentions their doctor said their A1C levels are slightly elevated and expresses worry about diabetes. Using the Ask-Tell-Ask method, what is the most suitable first step?
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In complex reflections, what is the most important practice for a counselor to adopt when trying to understand a client's underlying feelings?
In complex reflections, what is the most important practice for a counselor to adopt when trying to understand a client's underlying feelings?
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A person is interested in learning more about reducing sodium in their diet. After you 'Tell' this person about foods that are typically higher in salt and how to reduce sodium in the diet, what’s the most appropriate next step?
A person is interested in learning more about reducing sodium in their diet. After you 'Tell' this person about foods that are typically higher in salt and how to reduce sodium in the diet, what’s the most appropriate next step?
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Why is it important for counselors to reinforce change talk through summaries?
Why is it important for counselors to reinforce change talk through summaries?
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A client wants to increase iron intake without supplements. After 'Telling' them about iron-rich foods, they express concern about the cost of some options. What's the most appropriate next step, using Ask-Tell-Ask?
A client wants to increase iron intake without supplements. After 'Telling' them about iron-rich foods, they express concern about the cost of some options. What's the most appropriate next step, using Ask-Tell-Ask?
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Which of the following questions is most suitable to end a summary, in order to encourage the client to consider their next steps?
Which of the following questions is most suitable to end a summary, in order to encourage the client to consider their next steps?
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A client says, 'I want to make some changes to my health but I am confused by all the information online.' Which of the following is the best summary?
A client says, 'I want to make some changes to my health but I am confused by all the information online.' Which of the following is the best summary?
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When using complex reflections, what should a counselor do after offering a reflection to the client?
When using complex reflections, what should a counselor do after offering a reflection to the client?
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Which of the following statements best describes the purpose of summaries in counseling?
Which of the following statements best describes the purpose of summaries in counseling?
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Melissa has been having trouble sleeping, and she is your patient. Which of the following questions is most suitable to end a summary, in order to encourage Melissa to consider her next steps?
Melissa has been having trouble sleeping, and she is your patient. Which of the following questions is most suitable to end a summary, in order to encourage Melissa to consider her next steps?
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In the context of complex reflections, consider a client stating, 'I am snacking a lot at night because I am stressed.' What would be the MOST appropriate next step?
In the context of complex reflections, consider a client stating, 'I am snacking a lot at night because I am stressed.' What would be the MOST appropriate next step?
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What is the primary purpose of using the 'DARN CAT' acronym in client sessions?
What is the primary purpose of using the 'DARN CAT' acronym in client sessions?
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Which of the following questions aligns with the 'Ability' component of the 'DARN CAT' framework?
Which of the following questions aligns with the 'Ability' component of the 'DARN CAT' framework?
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A client states, 'I know I need to exercise more, but I just don't have the energy.' How could you apply the 'Need' aspect of 'DARN CAT' here?
A client states, 'I know I need to exercise more, but I just don't have the energy.' How could you apply the 'Need' aspect of 'DARN CAT' here?
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Which of the following exemplifies an 'affirmation' in the context of OARS?
Which of the following exemplifies an 'affirmation' in the context of OARS?
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A client says, 'I've tried to quit smoking so many times, I don't think I can ever succeed.' Which response below is the BEST example of an affirmation?
A client says, 'I've tried to quit smoking so many times, I don't think I can ever succeed.' Which response below is the BEST example of an affirmation?
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What is the core characteristic of a 'simple reflection' in motivational interviewing?
What is the core characteristic of a 'simple reflection' in motivational interviewing?
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Client: 'I'm not sure if changing my diet will really make a difference, but my doctor keeps telling me to.' Which of the following responses utilizes a simple reflection?
Client: 'I'm not sure if changing my diet will really make a difference, but my doctor keeps telling me to.' Which of the following responses utilizes a simple reflection?
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A client expresses, 'I feel overwhelmed by the thought of starting an exercise program.' How might you respond using a simple reflection?
A client expresses, 'I feel overwhelmed by the thought of starting an exercise program.' How might you respond using a simple reflection?
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When communicating with someone, what linguistic approach demonstrates respect for their autonomy?
When communicating with someone, what linguistic approach demonstrates respect for their autonomy?
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What is the primary risk of offering advice without first understanding the other person's perspective?
What is the primary risk of offering advice without first understanding the other person's perspective?
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Which communication technique is most effective for ensuring someone understands information you've shared?
Which communication technique is most effective for ensuring someone understands information you've shared?
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What should you do to offer alternative solutions to someone without falling into the 'expert trap'?
What should you do to offer alternative solutions to someone without falling into the 'expert trap'?
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What's the purpose of phrases that express collaboration, such as 'We can work together on this'?
What's the purpose of phrases that express collaboration, such as 'We can work together on this'?
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In the Ask-Tell-Ask model, what's the benefit of asking 'What do you think about that?' after providing information?
In the Ask-Tell-Ask model, what's the benefit of asking 'What do you think about that?' after providing information?
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When attempting to motivate someone, why should commands be avoided?
When attempting to motivate someone, why should commands be avoided?
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Before presenting possible solutions, it is important to ask:
Before presenting possible solutions, it is important to ask:
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Melissa is considering cutting out her afternoon coffee but is worried about productivity. Which stage of change is she MOST likely in?
Melissa is considering cutting out her afternoon coffee but is worried about productivity. Which stage of change is she MOST likely in?
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Which statement exemplifies 'sustain talk' in Melissa's scenario?
Which statement exemplifies 'sustain talk' in Melissa's scenario?
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Using motivational interviewing, which open-ended question would be MOST effective in exploring Melissa's ambivalence about her coffee consumption?
Using motivational interviewing, which open-ended question would be MOST effective in exploring Melissa's ambivalence about her coffee consumption?
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In the 'Ask-Tell-Ask' approach, what is the PRIMARY purpose of the initial 'Ask'?
In the 'Ask-Tell-Ask' approach, what is the PRIMARY purpose of the initial 'Ask'?
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Which 'Tell' statement best exemplifies a neutral way of providing information to Melissa, without pressuring her to change?
Which 'Tell' statement best exemplifies a neutral way of providing information to Melissa, without pressuring her to change?
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Using the 'Elicit-Provide-Elicit' method, what would be the MOST appropriate way to 'Elicit' information after providing information about the effects of caffeine?
Using the 'Elicit-Provide-Elicit' method, what would be the MOST appropriate way to 'Elicit' information after providing information about the effects of caffeine?
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In what way might Melissa's skipping breakfast be related to her afternoon coffee consumption?
In what way might Melissa's skipping breakfast be related to her afternoon coffee consumption?
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Which of the following reflects the BEST way to phrase a question when asking for permission to discuss Melissa's caffeine habits?
Which of the following reflects the BEST way to phrase a question when asking for permission to discuss Melissa's caffeine habits?
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Flashcards
NCP Process
NCP Process
A structured approach to assessment, diagnosis, intervention, and evaluation in healthcare.
Assessment Phase
Assessment Phase
Includes pre-appointment tasks like reading charts and conducting client assessments.
Diagnosis Phase
Diagnosis Phase
Identifying issues by discussing topics the client wants to explore further.
Intervention Phase
Intervention Phase
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Monitoring and Evaluation
Monitoring and Evaluation
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OARS
OARS
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Open-Ended Questions
Open-Ended Questions
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Client Engagement
Client Engagement
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DARN CAT
DARN CAT
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Desire
Desire
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Ability
Ability
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Reasons
Reasons
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Need
Need
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Commitment
Commitment
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Activation
Activation
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Affirmations
Affirmations
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Complex Reflections
Complex Reflections
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Waiting for Response
Waiting for Response
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Change Talk
Change Talk
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Summarizing
Summarizing
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Importance of Summaries
Importance of Summaries
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Examples of Summarizing
Examples of Summarizing
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Listening for Change Talk
Listening for Change Talk
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Case Study: Melissa
Case Study: Melissa
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High Salt Foods
High Salt Foods
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Reducing Sodium
Reducing Sodium
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Blood Sugar Control
Blood Sugar Control
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Health at Any Size
Health at Any Size
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Motivational Interviewing
Motivational Interviewing
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Stage of Change
Stage of Change
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Sustain Talk
Sustain Talk
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Ask-Tell-Ask
Ask-Tell-Ask
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Elicit-Provide-Elicit
Elicit-Provide-Elicit
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Effective Counseling Techniques
Effective Counseling Techniques
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Listening with Empathy
Listening with Empathy
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Plain Language
Plain Language
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Visual Aids Usage
Visual Aids Usage
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Avoiding Directive Language
Avoiding Directive Language
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Teach-Back Method
Teach-Back Method
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Expert Trap
Expert Trap
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Behavioral Menu
Behavioral Menu
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Respect for Autonomy
Respect for Autonomy
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Collaborative Statements
Collaborative Statements
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Study Notes
FNH 345/HUNU: Week 4/5 - Motivational Interviewing Basics Part 2
- Motivational Interviewing Basics Part 2, February 5th, 2025, Sinéad Feeney, MSc, RD
- Guest speaker Jessie Newman will join on Friday, Feb 7th
- Today's outline includes Part 2: Motivational Interviewing Basics and Midterm Review
The Four Processes of MI
- Engaging: Building rapport, establishing meeting time, previewing expectations, and determining reason for consultation.
- Focusing: Guiding client to select discussion topics, offering suggestions, and understanding reasons behind topic selection.
- Evoking: Identifying and responding to ambivalence, encouraging change talk, assessing readiness to change and transitioning to planning.
- Planning: Requesting permission before sharing information, offering information using elicitation or asking/telling techniques, setting goals and addressing barriers to change.
The Four Processes in Practice (Counselling Assignments Part 1 & 2)
- Counselling assignment Part 1: Engaging - Building Rapport, establishing meeting time, previewing expectations and determining reason. Focusing on identifying the topic of discussion and understanding their reason. Gathering relevant information. Evoking - Identifying and response to ambivalence.
- Counselling assignment Part 2: Continued evoking, Assessing readiness to change, Transition to planning process. Planning - Asking permission, giving information, setting goals, and addressing barriers.
How does this relate to NCP?
- Assessment: Reading the chart, conducts assessment, asking client for questionnaire prior to visit, inquiring reason for visit, and asking about interview expectations.
- Diagnosis: Asking what changes the client is interested in, understanding consultation reasoning, sharing potential discussion topics based on assessment, and sharing reason for consult if unknown.
- Intervention: Inviting client's voice regarding motivations for change, finding a successful route toward change, guiding client in devising solutions, and establishing specific goals.
- Monitor and Evaluation: Determining client's appropriate monitoring methods, setting plans for follow up, and reviewing updates to assist in follow up.
OARS - How to connect with your clients in Session
- OARS: Open-ended questions to help clients reflect on their feelings and experiences.
- Example: Seeing a patient newly diagnosed with type 2 diabetes. Initial open ended question examples are: "What might be an open-ended question you might first say?"
Open Ended Questions & DARN CAT
- DARN CAT: Desires, Abilities, Reasons, Needs, Commitment, Activation, Taking Steps — these are components to think about how to encourage change
- DARN CAT ensures focus is on client's capabilities and aspirations.
Applying DARN CAT to Your Sessions
- Desire: Open ended questions explore future desires and goals.
- Ability: Open ended question explore client's perceived ability to change.
- Reasons: Open-ended question addresses reasons for wanting change.
- Needs: Open-ended questions explore client's needs.
- Commitment: Open ended questions explores client's commitment to change
- Activation: Open ended questions explores client's activation and readiness
- Taking Steps: Open-ended questions explores client's potential steps toward change
OARS: Affirmations
- Positive statements acknowledging strengths and behaviours leading to positive change
- Examples: "You have made some big changes in the past," "I know you are anxious, but you have already made important progress" and "You have put a lot of thought into this"
OARS: Reflections (Simple & Complex)
- Simple Reflections: Rephrasing or repeating client statements to encourage further thought.
- Complex Reflections: Using different words to reflect the underlying meaning or feeling behind client statements, requires careful consideration of client context.
OARS: Summaries
- Reinforce key change statements. Clients hear the change talk once when they speak, twice when reflected by the counsellor, and again when summarised.
- Summarize throughout or at end to track key points and ensure proper guidance.
- Examples include summarising what the client has stated. "Just to make sure I understand, you are saying..." " So if I understand you correctly..."
Summary Examples
- Client mentions confusion regarding potential health changes and that it feels overwhelming.
- Potential summary example: "I hear you on that, it can definitely be confusing when searching online, we can clear that confusion by discussing..."
Case Study
- Melissa struggles with sleep and uses coffee to counteract energy crashes, skipping breakfast, worrying about work productivity, and is experiencing insomnia. She is concerned that if she stops supplemental coffee intake her work productivity will suffer.
- Questions for the case study: What stage of change is Melissa in and what strategies would be suggested for counselling her including identifying whether she is expressing change, sustain, or both. What motivational interviewing techniques and questions could be considered?
How to use MI in your Sessions: Ask Tell Ask
- Ask permission or what they know/what they want to know.
- Tell the necessary information respectfully.
- Ask again what they have understood.
Other key aspects of MI
- Tone is encouraging and expresses respect towards the client including statements showing strength ("You have a large amount of knowledge" ).
- Statements respect the client's autonomy ("It is your choice").
- Statements emphasize collaboration ("Let's work together").
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Description
Test your knowledge on the integration of the Nutrition Care Process (NCP) and Motivational Interviewing (MI). This quiz covers various phases of NCP and how MI strategies align with each stage, including assessment, diagnosis, intervention, and planning. Enhance your understanding of effective client engagement techniques in nutrition care.