Strategies that a nurse could use in a motivational interview to ...

[cdr_15]

Strategies that a nurse could use in a motivational interview to increase the chances of change include which of the following? (Select all that apply.)
 
  a. Educating the patient on the physical damage the substance is causing
  b. Encouraging the patient to think of ways to change environmental triggers to abuse substances
  c. Asking the patient how they think substance abuse affects their family life
  d. Explaining to the patient that substance abuse affects everyone in the family and give examples
  e. Asking the patient what methods they think would work and encouraging participating in self-help groups

Question 2

The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the highest priority for this patient?
 
  a. Describe how the alcohol is causing the withdrawal effects.
  b. Leave the patient by him/herself so as not to cause agitation.
  c. Promote a safe, calm, and comfortable environment.
  d. Refer the patient to an alcohol-abuse counselor.

[nguyenhoanhat]

Answer to Question 1

ANS: B, C, E
Empowering the patient by helping them see what effect the abuse has on their life is a key component of motivation. Educating the patient is too much like lecturing and may cause resistance. Explaining how the family responds to the problem may elicit guilt and resistance.

Answer to Question 2

ANS: C
The main priority is the patient's safety due to risk of harm from seizures, DTs, and anxiety. The nurse could provide referrals or discuss the relationship of alcohol to physical problems after the withdrawal period is over. Do not leave the patient alone, as many patients will need reassurance that they will survive the ordeal of withdrawal.