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Terms in this set (37)
T/F Advice giving alone will not change behavior.
What two things can pharmacist do to move patients toward readiness to make the change?
1.Gain the patient's understanding of the importance of the change
2. give the patient confidence to enact the change
What is Motivational Interviewing (MI)?
It is a communication style that works by activating the patient's own motivation for change and adherence to treat
What is the "spirit" of MI?
1. It is collaborative
2. It is Evocative
3. It Honors Patient Autonomy
How is MI collaborative?
it is a partnership that results in a joint decision-making process
How is MI evocative?
it evokes the patient's own good reasons and arguments for change (pros must outweigh cons)
T/F Clinicians may advise, inform or even warn, but ultimately it is the patient who decides what to do
What is decisional balance?
the concept that a patient will weigh the pros and cons of a change, and not make the change until the pros outweigh the cons
In a decisional balance, resistance means what?
cons outweigh pros
In a decisional balance, ambivalent means what?
cons equal pros
In a decisional balance, ready for change means what?
pros outweigh cons
During MI, should a pharmacist make assumptions or force opinions on the patient?
When faced with ambivalence or resistance what should you do?
explore, don't explain
Should you tell the patient which conclusion to draw?
Should you allow the patient ot choose from several options or one option?
What should you identify?
the patient's core concern
What should you determine?
the patient's line of reasoning for their current behavior
What should you alway do after a patient is done talking?
Reflect what they said back to them so they know you are listening
What are the five principles of MI?
Roll With Resistance
When do you express empathy?
When you want to demonstrate understanding and to address a patient's core concern
You should see a patient as one who is _______________ and not as someone who is lazy or unmotivated.
struggling with change
What is the goal of developing discrepancy?
to develop discrepancy between the present behavior and the desired behavior in a non-threatening manner
When do you use the develop discrepancy principle?
to create change talk and throw the patient's system out of kilter without creating more resistance
Avoiding argumentation will what?
When do you roll with resistance?
when patients are expressing issue resistance
What are four ways a pharmacist can help a patient develop self-efficacy?
1. Providing and clarifying information
2.Offering realist hope and expressing confidence
3.Praising successful attempts at behavior change
4. Praising problem -solving ideas of the patient
When do you support self efficacy?
to reinforce both thoughts and actions regarding behavior change
Practitioner is a ________, but the client controls_______.
What is the chief obstacle of change?
What is the style of MI centered around?
calm, genial interactions
What is MI all about?
What are the three MI tools used to assess a patient?
What is the importance or confident ruler?
patient ranks on a scale 1 to 10 how likely they are to change something
What is an example of the envelope method?
If I handed you an envelope with a message inside so strong it would cause you to stop smoking, what would the message have to say
What is the menu method ?
present a choice of options to patient and let them choose one to work on for solution to problem
What is an example of the insurance card method?
May I tell you what concerns me?
What is an example of "a look over the fence method"?
If you could look over your fence and see yourself as a non-smoker, what would you like about that?
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