Motivational Interviewing & Stages of Change Flashcards

A peer says, "I know my drinking is hurting my kids, but it's the only thing that helps me relax." Which stage of change best describes this person?

Answer: Contemplation

Contemplation means the person sees the problem and feels torn about changing, but has not committed to act. Admitting harm while still defending the behavior is the classic sign.

What does the acronym OARS stand for in motivational interviewing?

Answer: Open questions, Affirmations, Reflective listening, Summaries

OARS names the four core MI skills: Open questions, Affirmations, Reflective listening and Summaries. These skills help draw out the person's own reasons for change.

Which statement from a peer is the clearest example of "change talk"?

Answer: "I want to be around for my daughter's graduation."

Change talk is anything the person says in favor of change: desire, ability, reasons or need. Wanting to be present for a child is a personal reason to change.

A peer in the precontemplation stage insists they do not have a problem. What is the most appropriate response from a recovery specialist?

Answer: Build rapport, show curiosity, and offer information without pressure

In precontemplation the goal is to build trust and raise awareness gently. Confrontation tends to make the person defend their use, and action planning comes too early at this stage.

In motivational interviewing, "rolling with resistance" (now often called "responding to sustain talk and discord") means:

Answer: Avoiding argument and reflecting the person's view to reduce defensiveness

MI avoids arguing. Reflecting and acknowledging the person's view lowers defensiveness and leaves them responsible for deciding to change.

A peer says, "I've set a quit date for next Monday and told my sister." Which stage of change does this indicate?

Answer: Preparation

Preparation means the person intends to act soon and is taking small steps, such as setting a date or telling others. The change itself has not started yet, so this is not Action.