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
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.
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