Question

Difficulty: EasyPatient Counseling and Health Education

A physician is using motivational interviewing techniques to counsel a patient on smoking cessation. Match each motivational interviewing core skill to the corresponding physician statement.

  • Open-ended question"How do you feel about trying a nicotine replacement patch?"
  • Affirmation"It is really impressive that you managed to cut down to half a pack a day despite your stressful job."
  • Reflective listening"You are feeling frustrated because the cravings are making it hard to concentrate at work."
  • Summarizing"Today we talked about your triggers for smoking and decided you will try chewing gum when you feel stressed."

Answer

Open-ended question matches with asking how the patient feels about the patch; Affirmation matches with praising the effort to cut down; Reflective listening matches with acknowledging the frustration with cravings; Summarizing matches with recapping the triggers and the plan.
The OARS model of motivational interviewing consists of Open-ended questions (inviting elaboration), Affirmations (validating efforts and strengths), Reflections (mirroring feelings and meaning), and Summaries (recapping the conversation and plan). Matching each technique to its practical example demonstrates foundational knowledge of effective patient counseling.

Step-by-Step Solution

1
Analyze 'Open-ended question'
Identified as a question that prompts discussion rather than a one-word answer.
To differentiate it from closed questions and map it to the statement asking for the patient's perspective.
2
Analyze 'Affirmation'
Identified as a statement that highlights the patient's positive actions or strengths.
To match it with the statement validating the patient's success in reducing cigarette consumption.
3
Analyze 'Reflective listening'
Identified as a statement that restates the patient's expressed feelings or thoughts.
To match it with the statement reflecting the patient's frustration regarding nicotine cravings.
4
Analyze 'Summarizing'
Identified as a statement that consolidates the key elements of the discussion.
To match it with the statement reviewing the visit's discussion and subsequent action steps.

Key Concept

Core Skills of Motivational Interviewing (OARS)
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