Preventive Program & Motivational Interviewing

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Questions and Answers

In the context of preventive programs, what is the primary focus of the 'Assess' step?

  • Designing specific interventions.
  • Determining the patient's needs. (correct)
  • Evaluating the effectiveness of past programs.
  • Setting long-term healthcare goals.

Which of the following best describes the 'Evaluate' step in a preventive program?

  • Adjusting the plan based on feedback.
  • Analyzing the positive changes achieved. (correct)
  • Implementation of the designed plan.
  • Measuring the patient's adherence to the plan.

How does motivational interviewing (MI) primarily aim to facilitate patient behavior change?

  • By implementing strict guidelines for health behaviors.
  • Through strengthening intrinsic motivation. (correct)
  • By directly advising patients on necessary changes.
  • Using external rewards to reinforce positive behavior.

What is a key characteristic of motivational interviewing that distinguishes it from other communication methods in healthcare?

<p>Its focus on collaboration and eliciting the patient's own reasons for change. (A)</p> Signup and view all the answers

Which element of the 'MI Spirit' involves establishing a positive interpersonal environment to encourage change?

<p>Partnership (A)</p> Signup and view all the answers

In the context of motivational interviewing, what does 'Evocation' specifically refer to?

<p>The commitment to elicit patients’ assessment of their own strengths, thoughts, ideas, and resources (A)</p> Signup and view all the answers

What does the guiding principle of 'Resist Righting Reflex' advise practitioners to avoid in motivational interviewing?

<p>Automatically trying to fix the patient's problems. (B)</p> Signup and view all the answers

Within the Guiding Principles of motivational interviewing, what does 'Understand the Patient’s Motivation' emphasize?

<p>Identifying and exploring the patient's own reasons for wanting to change. (D)</p> Signup and view all the answers

In the context of the 'Four Processes' of MI, what is the primary goal of the 'Engaging' process?

<p>To establish a helpful connection and working relationship. (C)</p> Signup and view all the answers

Which of the 'Four Processes' of MI involves eliciting the patient's own motivations for change and lies at the heart of MI?

<p>Evoking (A)</p> Signup and view all the answers

What is the main objective of the 'Focusing' process in motivational interviewing?

<p>To clarify and agree upon a specific direction for the conversation about change. (A)</p> Signup and view all the answers

What does the 'Planning' process in motivational interviewing primarily encompass?

<p>Developing commitment to change and formulating a concrete plan of action. (A)</p> Signup and view all the answers

In the context of Core Skills for MI (OARS), what is the purpose of using 'Open-ended questions'?

<p>To encourage the patient to explore their thoughts and feelings. (A)</p> Signup and view all the answers

Within the OARS framework of MI, what is the role of 'Affirmations'?

<p>To emphasize the positive attributes. (C)</p> Signup and view all the answers

In the acronym OARS, what does the 'Reflective Listening' component involve?

<p>Guessing about the unspoken. (A)</p> Signup and view all the answers

In motivational interviewing, what is the purpose of 'Summarizing'?

<p>To ensure that the patient feels heard and understood. (B)</p> Signup and view all the answers

How does a patient demonstrating 'sustain talk' typically present in a motivational interviewing context?

<p>They express satisfaction with their current health-related behaviors. (B)</p> Signup and view all the answers

In the context of motivational interviewing, what does 'change talk' indicate about a patient?

<p>They are ready to consider and express a desire to move forward. (C)</p> Signup and view all the answers

Which of the following best describes how learning occurs through talking, as it relates to motivational interviewing?

<p>It occurs when knowledge or skills are acquired through exploration and conversation. (A)</p> Signup and view all the answers

What is considered a component of learning through talking?

<p>Commitment (B)</p> Signup and view all the answers

Which step of the preventive program involves assessing the patient’s needs?

<p>Assessing (C)</p> Signup and view all the answers

What is the primary focus during the 'Plan' phase of a preventive program?

<p>Designing specific interventions (D)</p> Signup and view all the answers

During which step of a preventive program are clinical preventive services actually delivered to the patient?

<p>Performing (A)</p> Signup and view all the answers

What is the ultimate goal of the 'Plan' step that focuses on short- and long-term continuing care within a preventive program?

<p>To ensure ongoing support. (D)</p> Signup and view all the answers

Who is considered the primary focus of motivational interviewing techniques?

<p>The patient (A)</p> Signup and view all the answers

What is the main intention of using motivational interviewing?

<p>To strengthen motivation for positive change. (A)</p> Signup and view all the answers

Which of the following describes motivational interviewing's range of application?

<p>Applicable in many health professions (B)</p> Signup and view all the answers

What is a key aim of motivational interviewing in healthcare?

<p>Changing a patient’s health behaviors (D)</p> Signup and view all the answers

What does acceptance entail in the context of motivational interviewing?

<p>The interviewer shows a non judgmental attitude. (A)</p> Signup and view all the answers

Flashcards

Steps in a Preventive Program

A systematic approach to healthcare that includes assessing needs, planning interventions, implementing plans, performing services, and evaluating changes, with ongoing care.

Motivational Interviewing (MI)

Patient-centered, goal-directed communication methods that boost intrinsic motivation for positive change.

Partnership in MI

Establishing a positive interpersonal environment that encourages change through mutual trust and understanding.

Acceptance in MI

The attitude of accepting the patient for who they are without judgment.

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Compassion in MI

A commitment to promoting the welfare and prioritizing the needs of the patient.

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Evocation in MI

A commitment to drawing out the patients own assessment of patients' strengths, thoughts, ideas, and resources

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Resist Righting Reflex

The principle of resisting the urge to correct or direct the patient.

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Understand Patient's Motivation

Grasping the patient's motivations and reasons for their behavior.

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Listen to the Patient

Paying close attention to what the patient is saying, both verbally and nonverbally.

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Empower the Patient

Giving the patient the confidence and ability to make positive changes.

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Engaging (in MI)

Establishing a helpful and trusting connection with the patient.

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Focusing (in MI)

Developing and maintaining a specific direction in the conversation.

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Evoking (in MI)

Eliciting the patient's own motivations for change.

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Planning (in MI)

Developing commitment to change and formulating a concrete action plan.

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Open-ended Questions

Asking questions that require more than a 'yes' or 'no' answer.

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Affirmations (in MI)

Highlighting the patient's positive attributes and efforts.

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Reflective Listening

Understanding the meaning behind what the patient is saying, even the unspoken.

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Summary (in MI)

Condensing information that was provided by the patient.

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Sustain Talk

Statements favoring the status quo over change.

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Change Talk

Statements indicating readiness, desire, or ability to change.

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Study Notes

  • The steps of a preventive program involve assessing, planning, implementing, performing, and evaluating.
  • The first step is to assess the patient's needs.
  • Interventions are then planned.
  • The plan is then implemented.
  • Clinical preventive services are performed.
  • Evaluate progressive changes.
  • Plan short and long term continuing care.

Motivational Interviewing

  • MI (Motivational Interviewing) and brief motivational interviewing is person-centered and uses goal-directed communication.
  • It helps to elicit and strengthen intrinsic motivation for positive change.
  • MI has been applied in many health professions.
  • Is an approach to changing a patient's behaviors.

Elements of MI Spirit

  • Partnership: Establish a positive interpersonal setting for change.
  • Acceptance: Accept the patient's current state.
  • Compassion: Prioritize the patient's needs.
  • Evocation: Determine the patient's strengths, thoughts, and resources.

Guiding Principles

  • Resist the righting reflex of telling someone what to do.
  • Understand the patient and their motivation.
  • Listen to the patient.
  • Empower the patient.

The 4 Processes of Motivational Interviewing

  • Engaging: Establish a helpful connection and working relationship.
  • Focusing: Develop and maintain a specific direction.
  • Evoking: Elicit the patient's motivations for change.
  • Planning: Develop commitment to change and formulate a concrete plan of action.

Core Skills of MI (OARS)

  • Ask open-ended questions.
  • Affirmations: Emphasize positive attributes.
  • Reflective Listening: Add meaning and guess about the unspoken.
  • Summary: Summarize the information given by the patient.

Sustain Talk versus Change Talk

  • Patients happy with current behaviors will talk about maintaining the status quo more than changing.
  • Learning occurs when knowledge or skills are acquired.
  • Commitment
  • Action Toward
  • Taking Steps

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