HS 210 Exam 2 With Complete Solution
Identify the psychological theory that supports Motivational Interviewing. - ANSWER
Self-determination theory
Self determination theory - ANSWER -Autonomy in making decisions
-Mastery and a sense of our competency in making the change
-Relatedness and a sense of being supported by key people around us, including
healthcare professionals
Describe the core skills of Motivational Interviewing. - ANSWER -Open-ended questions
-Affirmations
-Reflections
-Summarizing
Open-ended questions - ANSWER -Questions that evoke and elicit the patient's own
motivation for change
-Requires more than a yes or no answer
-Enables the patient to convey more information
-Encourages engagement
Affirmations - ANSWER -Anything positive that can be pointed out
-Affirms a client's strengths and values
-Build a sense of self confidence
Reflections - ANSWER -Reflect back the client's change talk
-I wish I could stop smoking
-Statements should communicate active listening, compassion, non judgemental
acceptance, and genuine caring
Summarizing - ANSWER -Combined with reflective listening
-Done throughout interview and at the end
-Summarize change talk and the plan
Recognize the situations where Motivational Interviewing is useful. - ANSWER
, -Ambivalence is high
-Confidence is low
-Desire is low
-Importance is low
Ambivalence is high - ANSWER People are stuck in mixed feelings about change
Confidence is low - ANSWER People doubt their abilities to change
Desire is low - ANSWER People are uncertain about whether they want to make a
change
Importance is low - ANSWER The benefits of change and disadvantages of the current
situation are unclear
Verbalize an open-ended question. - ANSWER What comes to mind when thinking about
quitting smoking? How does you family feel about the situation?
Adverse event - ANSWER -Harm that arises as a result of medical care
-Preventable adverse events - events that while not preventable, could have been less
harmful if care had been different
-Adverse events due to negligence - those due to care that falls below the standard of
care
Near event - ANSWER An occurrence, that if it had not been detected failure, would
have resulted
Near event in surgery or invasive procedures example - ANSWER Wrong patient, wrong
procedures, or wrong site surgery
Near event in products or devices example - ANSWER Death or serious injury related to
contaminated drugs or devices, malfunctioning equipment
Near event in patient protection example - ANSWER Discharge of a patient who is
unable to make decisions to an unauthorized person
Near event in care management example - ANSWER Maternal death or serious injury of
mother and/or baby in a low risk delivery
Near event in environment example - ANSWER Patient or staff death or serious injury
associated with an electric shock
Near event in radiology example - ANSWER Death or serious injury of a patient or staff
associated with a metallic object in an MRI area
Near event that is a potential criminal event - ANSWER Care provided by anyone
Identify the psychological theory that supports Motivational Interviewing. - ANSWER
Self-determination theory
Self determination theory - ANSWER -Autonomy in making decisions
-Mastery and a sense of our competency in making the change
-Relatedness and a sense of being supported by key people around us, including
healthcare professionals
Describe the core skills of Motivational Interviewing. - ANSWER -Open-ended questions
-Affirmations
-Reflections
-Summarizing
Open-ended questions - ANSWER -Questions that evoke and elicit the patient's own
motivation for change
-Requires more than a yes or no answer
-Enables the patient to convey more information
-Encourages engagement
Affirmations - ANSWER -Anything positive that can be pointed out
-Affirms a client's strengths and values
-Build a sense of self confidence
Reflections - ANSWER -Reflect back the client's change talk
-I wish I could stop smoking
-Statements should communicate active listening, compassion, non judgemental
acceptance, and genuine caring
Summarizing - ANSWER -Combined with reflective listening
-Done throughout interview and at the end
-Summarize change talk and the plan
Recognize the situations where Motivational Interviewing is useful. - ANSWER
, -Ambivalence is high
-Confidence is low
-Desire is low
-Importance is low
Ambivalence is high - ANSWER People are stuck in mixed feelings about change
Confidence is low - ANSWER People doubt their abilities to change
Desire is low - ANSWER People are uncertain about whether they want to make a
change
Importance is low - ANSWER The benefits of change and disadvantages of the current
situation are unclear
Verbalize an open-ended question. - ANSWER What comes to mind when thinking about
quitting smoking? How does you family feel about the situation?
Adverse event - ANSWER -Harm that arises as a result of medical care
-Preventable adverse events - events that while not preventable, could have been less
harmful if care had been different
-Adverse events due to negligence - those due to care that falls below the standard of
care
Near event - ANSWER An occurrence, that if it had not been detected failure, would
have resulted
Near event in surgery or invasive procedures example - ANSWER Wrong patient, wrong
procedures, or wrong site surgery
Near event in products or devices example - ANSWER Death or serious injury related to
contaminated drugs or devices, malfunctioning equipment
Near event in patient protection example - ANSWER Discharge of a patient who is
unable to make decisions to an unauthorized person
Near event in care management example - ANSWER Maternal death or serious injury of
mother and/or baby in a low risk delivery
Near event in environment example - ANSWER Patient or staff death or serious injury
associated with an electric shock
Near event in radiology example - ANSWER Death or serious injury of a patient or staff
associated with a metallic object in an MRI area
Near event that is a potential criminal event - ANSWER Care provided by anyone
