NR605 FINAL TEST PAPER QUESTIONS AND
SOLUTIONS
◉ Indications for MI.
Answer: -reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
◉ MI Guiding Principles.
Answer: -acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
◉ MI Role of the Psychotherapist.
Answer: represented by the mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
,Listen to the patient
Empower the patient
◉ OARS.
Answer: Communication skills for MI:
-Open questions
• cannot be answered with a yes or no, require elaboration
-Affirming
• provide encouragement, are (+) comments on a client's strengths
or efforts
-Reflecting
• mirror the content or feelings explicitly or implicitly stated by the
client
• convey empathy, demonstrate listening, highlight emotions &
beliefs, • provide opportunities for the client to elaborate on their
concerns
• empower clients to take control of the conversation
• recommended to use at least two reflections for every question
-Summarizing
,• links together what has been stated to help the client organize
their experiences
◉ MI Phases of the Change Process.
Answer: -engagement
• establishment of trust & a helping relationship between the
therapist & client
• uses reflections that communicate understanding
-focusing
• identification of the direction or target of the change
• uses open-ended questions
-evoking
• identifying the client's motivation for change and evoking hope
• uses reflections and summaries
-planning
• creating a plan for change
◉ acceptance and commitment therapy (ACT).
, Answer: -helps individuals accept life's challenges while focusing on
their values and goals
• learning how to relate to thoughts & feelings which impact life
rather than changing those thoughts & feelings
-referred to as a "third wave" CBT therapy
-Accepting reactions and being present
-Choosing a valued direction
-Taking action
-Used for:
• depression, anxiety, substance use, chronic pain, transdiagnostic
combinations of conditions
◉ solution-focused therapy (SFT).
Answer: -future-oriented approach
-helps client ID problems & construct solutions that will result in
change
-postmodern thinking
• reality is shaped by multiple and conflicting "truths" & constructed
through human interaction
• there are as many stories of meaning as there are people involved
-fourth force of psychotherapy
• transpersonal, going beyond the ideas of humanness, identity, and
self-actualization
SOLUTIONS
◉ Indications for MI.
Answer: -reduction of substance use and health promotion
-improving medication adherence in clients with schizophrenia
◉ MI Guiding Principles.
Answer: -acceptance
-empathy
-compassion
-respect of client autonomy
-acknowledgment of the client's strengths & efforts
-Spirit of MI
• Partnership, compassion, acceptance, evocation
◉ MI Role of the Psychotherapist.
Answer: represented by the mnemonic RULE:
Resist the righting reflex
Understand the patient's motivation
,Listen to the patient
Empower the patient
◉ OARS.
Answer: Communication skills for MI:
-Open questions
• cannot be answered with a yes or no, require elaboration
-Affirming
• provide encouragement, are (+) comments on a client's strengths
or efforts
-Reflecting
• mirror the content or feelings explicitly or implicitly stated by the
client
• convey empathy, demonstrate listening, highlight emotions &
beliefs, • provide opportunities for the client to elaborate on their
concerns
• empower clients to take control of the conversation
• recommended to use at least two reflections for every question
-Summarizing
,• links together what has been stated to help the client organize
their experiences
◉ MI Phases of the Change Process.
Answer: -engagement
• establishment of trust & a helping relationship between the
therapist & client
• uses reflections that communicate understanding
-focusing
• identification of the direction or target of the change
• uses open-ended questions
-evoking
• identifying the client's motivation for change and evoking hope
• uses reflections and summaries
-planning
• creating a plan for change
◉ acceptance and commitment therapy (ACT).
, Answer: -helps individuals accept life's challenges while focusing on
their values and goals
• learning how to relate to thoughts & feelings which impact life
rather than changing those thoughts & feelings
-referred to as a "third wave" CBT therapy
-Accepting reactions and being present
-Choosing a valued direction
-Taking action
-Used for:
• depression, anxiety, substance use, chronic pain, transdiagnostic
combinations of conditions
◉ solution-focused therapy (SFT).
Answer: -future-oriented approach
-helps client ID problems & construct solutions that will result in
change
-postmodern thinking
• reality is shaped by multiple and conflicting "truths" & constructed
through human interaction
• there are as many stories of meaning as there are people involved
-fourth force of psychotherapy
• transpersonal, going beyond the ideas of humanness, identity, and
self-actualization
