The nurse performs motivational interviewing with a college ...

[vicotolentino]

The nurse performs motivational interviewing with a college student in the university health center regarding the student's history of binge drinking.
 
  The nurse hopes to ascertain the student's readiness to change her behavior and encourage her to make better choices related to alcohol use. The interview should begin with:
  A) Listening empathetically to establish trust
  B) Eliciting feelings about how the drinking behavior is affecting the student's life
  C) Noting discrepancies between attitudes toward alcohol and alcohol-associated harms
  D) Being supportive of the student's life goals

Question 2

The nurse works with a recovering heroin addict who is currently receiving opioid substitution treatment. Besides reducing his use of heroin, what additional benefits are offered by this treatment? (Select all that apply.)
 
  A) Reduction in alcohol use
  B) Weight loss
  C) Decrease in transmission of HIV
  D) Improving the client's overall health
  E) Decrease in depression

[cdmart10]

Answer to Question 1

Ans: A
Feedback:
Nurses in university health services are ideally positioned to identify at-risk students and use motivational interviewing to ascertain the students' readiness to change their behavior. Motivational interviewing begins by establishing trust, being an empathic listener, and instilling hope and positive regardcommunication skills familiar to nurses, which are the foundation of the nurseclient relationship. Once the nurse establishes rapport, brief motivational interviewing consists of specific cognitive strategies such as eliciting feelings about how the drinking behavior is affecting the student's life, noting discrepancies between attitudes toward alcohol and alcohol-associated harms, emphasizing strengths, supporting life goals, and empathically supporting the student on ways to implement change or remaining neutral when met with ambivalence.

Answer to Question 2

Ans: C, D
Feedback:
Opioid substitution programs are effective in decreasing the transmission of HIV infection, reducing injecting drug use, and improving the health of people addicted to opioids. They are not associated with a reduction in alcohol use, weight loss, or a decrease in depression.