Author Question: The nurse is utilizing the technique of motivational interviewing to instruct a client on ways to ... (Read 29 times)

cabate · **on:** Jun 25, 2018

The nurse is utilizing the technique of motivational interviewing to instruct a client on ways to limit alcohol intake. Which of the following are techniques used when implementing motivational interviewing? (Select all that apply.)

1. Express empathy
2. Develop discrepancy
3. Avoid arguing
4. Roll with resistance
5. Support self-efficacy
6. Contract for goal achievement

Question 2

A client is prescribed to receive an intravenous infusion of a hypertonic solution. The nurse realizes that which of the following solutions are considered hypertonic? (Select all that apply.)

1. 0.45 Normal Saline
2. Dextrose 5 and 0.9 Normal Saline
3. Dextrose 5 and water
4. Dextrose 10 and water
5. Ringer's lactate
6. Dextran 5 in water

shoemake · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

1, 2, 3, 4, 5
Motivational interviewing has five specific techniques: 1) expressing empathy, 2) developing discrepancy, 3) avoiding argument, 4) rolling with resistance, and 5) supporting self-efficacy. Contracting for goal achievement is not a technique of motivational interviewing.

Answer to Question 2

2, 4
Hypertonic solutions cause fluid to move out of the cells, resulting in shrinkage of the cells. Hypertonic solutions include Dextrose 5 and 0.9 Normal Saline and Dextrose 10 and water. Ringer's lactate is an isotonic solution. The solutions of 0.45 Normal Saline and Dextrose 5 and water are hypotonic. Dextran 5 in water is a plasma extender.