A nurse is using motivational interviewing to find out why a client refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this client?
A) So, you feel that you are not ready to start a program this week...?
B) Why do you feel that you are not ready to start rehabilitation?
C) I understand that you are afraid to start rehabilitation; where do you see yourself in a week?
D) Remember we discussed what needs to be done to get you back on your feet...How do you feel about getting started?
Ans: A
Four skills have proved effective in motivational interviewing. These include: (answer A) reflective listening (restates the client's response back to him or her), (answer B) asking open questions (encourages discussion of the reason for making desired changes), (answer C) affirming (supports the client's efforts and encourages further exploration), and (answer D) summarizing (links and reinforces material that has been discussed).
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