CMAS 465 FINAL QUESTIONS AND VERIFIED ANSWERS, 100%
GUARANTEE
Motivation - a state of readiness to change
Lack of motivation - -Not ready or willing to change
-One of the biggest challenges facing providers
In order for a person to be motivated to change, three elements are critical: - -Change has
to be important to the person
-Client has to feel confident that he or she is capable of changing.
-Client has to be ready to change
Why would someone lack motivation - or be resistant or reluctant to change? - -Shame
-Embarrassment
-Fear of exposure
-Indirect or direct judgement by the provider
-Requirement to participate
-Pace of treatment is challenging
-Previous experience
How do we respond when working with a person who is reluctant or resistant? - -Patience
-Empathy
-Allowing sufficient time for the process can help
-Being genuine
-Discussing alternatives and their consequences
Motivational Interviewing - -A person-centered, directive method for enhancing intrinsic
motivation to change by exploring and resolving ambivalence.
,-Client's strengths
-Respectfully honors the client's rights to choose
-Goal is to resolve ambivalence
Goal of Motivational Interviewing - to resolve ambivalence
Manner of being with a client - reflects the four values of motivational interviewing - -
Knowledge of the natural process
-Collaboration
-Evocation
-Respect for autonomy
Guiding Principles of Motivational Interviewing - -Express empathy: Unconditional
acceptance
-Develop discrepancy
-Roll with resistance
-Support Self-Efficacy
OARS for Motivational Interviewing - -Open questions
-Affirmation of patients' self-efficacy and support
-Reflections of patients' thoughts, desires, abilities, reasons, needs and commitments
-Summaries of the patient's history to promote consideration of change
Open Questions - -Ask open-ended questions
-"What else can you tell me about your alcohol use?"
-"What do you like most about your relationship?"
-"How can I help you overcome this fear?"
-"What do you think it will take for you to take steps toward change?"
,Affirm - -Affirming certain client attributes, behaviors, and statements serves to build
rapport and support open examination of the client's situation.
-Simple as appreciation or recognition
Reflecting listening - -An attempt to communicate to the speaker that the person listening
has accurately understood the content and even the feeling behind the content
-Accomplished through statements that rephrase what the client has just said:
-"It sounds like you..."
-"You mean that...?"
-When I hear you saying...."
Summarize - -Done periodically
-Lets the client know that the provider has been listening well
-Reinforces what has been said
-Paves the way for the client to further elaborate
Family characteristics for abuse to occur: - -Multiple partners: inequality and uncertainty
in the lives of children
-Single parent homes: Berger and colleagues (2009) found that children living in single-mother
families and families with a nonbiological cohabitating father had higher rates of involvement
with child protective services than children in families with biological father and mother pairs
-Parenting skills and perpetration of child abuse and neglect
-Deficient parenting skills
-Less engagement with the child
-Being hyper responsive to child-related stimuli
-Engaging in harsh discipline
-Unrealistic expectations of their children
-Knowing less about child development
-Overreporting child's negative behaviors
, -Neglectful parents exhibit less empathy toward their child, have less proficient caretaking skills,
have poorer stress management, and less maternal motivation
-Intimate partner violence
-Social isolation
-Lack significant social connections with their extended families, neighborhoods, and
communities
-Neglectful parents = no social networks, poor-quality marriages, briefer relationships with their
parents
-Neglectful mothers = perceive own mothers more negatively, poorer relationship with mother,
do not rely on mothers as source of emotional support
The individual child risk factors for abuse to occur: - -Disabilities
-History of childhood abuse and neglect, early childbearing, and parental psychopathology are all
components of:
Contextual Risk Factors - -Poverty, unemployment, low socioeconomic status (neglect
and physical abuse)
-Neighborhood poverty, large number of children per adult, population turnover, high
concentration of single parent families, higher density of alcohol outlets (associated with abuse
and neglect rates)
Deficient parenting skills, intimate partner violence, and social isolation are all components of: -
Family characteristic risk factors
Poverty, unemployment, low socioeconomic status, neighborhood characteristics are all
components of: - Contextual risk factors
History of childhood abuse and neglect, early childbearing, and parental psychopathology are all
components of: - Individual risk factors
Dispositional attributes, environmental conditions, biological predispositions, and positive events
that can mitigate risk factors are known as: - Protective factors
GUARANTEE
Motivation - a state of readiness to change
Lack of motivation - -Not ready or willing to change
-One of the biggest challenges facing providers
In order for a person to be motivated to change, three elements are critical: - -Change has
to be important to the person
-Client has to feel confident that he or she is capable of changing.
-Client has to be ready to change
Why would someone lack motivation - or be resistant or reluctant to change? - -Shame
-Embarrassment
-Fear of exposure
-Indirect or direct judgement by the provider
-Requirement to participate
-Pace of treatment is challenging
-Previous experience
How do we respond when working with a person who is reluctant or resistant? - -Patience
-Empathy
-Allowing sufficient time for the process can help
-Being genuine
-Discussing alternatives and their consequences
Motivational Interviewing - -A person-centered, directive method for enhancing intrinsic
motivation to change by exploring and resolving ambivalence.
,-Client's strengths
-Respectfully honors the client's rights to choose
-Goal is to resolve ambivalence
Goal of Motivational Interviewing - to resolve ambivalence
Manner of being with a client - reflects the four values of motivational interviewing - -
Knowledge of the natural process
-Collaboration
-Evocation
-Respect for autonomy
Guiding Principles of Motivational Interviewing - -Express empathy: Unconditional
acceptance
-Develop discrepancy
-Roll with resistance
-Support Self-Efficacy
OARS for Motivational Interviewing - -Open questions
-Affirmation of patients' self-efficacy and support
-Reflections of patients' thoughts, desires, abilities, reasons, needs and commitments
-Summaries of the patient's history to promote consideration of change
Open Questions - -Ask open-ended questions
-"What else can you tell me about your alcohol use?"
-"What do you like most about your relationship?"
-"How can I help you overcome this fear?"
-"What do you think it will take for you to take steps toward change?"
,Affirm - -Affirming certain client attributes, behaviors, and statements serves to build
rapport and support open examination of the client's situation.
-Simple as appreciation or recognition
Reflecting listening - -An attempt to communicate to the speaker that the person listening
has accurately understood the content and even the feeling behind the content
-Accomplished through statements that rephrase what the client has just said:
-"It sounds like you..."
-"You mean that...?"
-When I hear you saying...."
Summarize - -Done periodically
-Lets the client know that the provider has been listening well
-Reinforces what has been said
-Paves the way for the client to further elaborate
Family characteristics for abuse to occur: - -Multiple partners: inequality and uncertainty
in the lives of children
-Single parent homes: Berger and colleagues (2009) found that children living in single-mother
families and families with a nonbiological cohabitating father had higher rates of involvement
with child protective services than children in families with biological father and mother pairs
-Parenting skills and perpetration of child abuse and neglect
-Deficient parenting skills
-Less engagement with the child
-Being hyper responsive to child-related stimuli
-Engaging in harsh discipline
-Unrealistic expectations of their children
-Knowing less about child development
-Overreporting child's negative behaviors
, -Neglectful parents exhibit less empathy toward their child, have less proficient caretaking skills,
have poorer stress management, and less maternal motivation
-Intimate partner violence
-Social isolation
-Lack significant social connections with their extended families, neighborhoods, and
communities
-Neglectful parents = no social networks, poor-quality marriages, briefer relationships with their
parents
-Neglectful mothers = perceive own mothers more negatively, poorer relationship with mother,
do not rely on mothers as source of emotional support
The individual child risk factors for abuse to occur: - -Disabilities
-History of childhood abuse and neglect, early childbearing, and parental psychopathology are all
components of:
Contextual Risk Factors - -Poverty, unemployment, low socioeconomic status (neglect
and physical abuse)
-Neighborhood poverty, large number of children per adult, population turnover, high
concentration of single parent families, higher density of alcohol outlets (associated with abuse
and neglect rates)
Deficient parenting skills, intimate partner violence, and social isolation are all components of: -
Family characteristic risk factors
Poverty, unemployment, low socioeconomic status, neighborhood characteristics are all
components of: - Contextual risk factors
History of childhood abuse and neglect, early childbearing, and parental psychopathology are all
components of: - Individual risk factors
Dispositional attributes, environmental conditions, biological predispositions, and positive events
that can mitigate risk factors are known as: - Protective factors
