A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Begins to discuss how their partner and children are important to them

Asks to change the topic during the interview process

Discusses reasons for making a behavior change

Requests more information about treatment options

Answer and Explanation

The Correct Answer is C

Discussing the client's reasons for change is a key component of eliciting and strengthening motivation. When the client voluntarily discusses their reasons for making a behavior change, it suggests that they are beginning to articulate and explore their motivations.

A. This behavior indicates successful engagement with the client.

B. This behavior may indicate resistance or ambivalence toward discussing the target behavior change.

D. This behavior may indicate a readiness to explore treatment options but does not necessarily indicate successful engagement with the client in MI.

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Correct Answer is C

Explanation

Nausea refers to the sensation of feeling sick to the stomach, and it is a symptom that is reported by the client. Since it is based on the client's perception and cannot be directly observed by the nurse, it is considered subjective data.

A. Blood pressure is a measurable vital sign that can be obtained using a blood pressure cuff and stethoscope.

B. Cyanosis is a bluish discoloration of the skin or mucous membranes due to insufficient oxygenation of the blood.

D. Petechiae are small, pinpoint-sized red or purple spots on the skin that result from bleeding under the skin.

A. The nurse sat at a slight angle across from the client. B. The nurse leaned away from the client throughout the interview. C. The nurse maintained an upright posture. D. The nurse maintained eye contact throughout the interview.

Correct Answer is B

Explanation

Leaning away from the client throughout the interview can convey a lack of interest or engagement in the conversation. It may appear as though the nurse is disinterested or uncomfortable, which could negatively impact the client's perception of the interaction.
A. Sitting at a slight angle across from the client is generally considered appropriate and allows for a comfortable and natural interaction
C. Maintaining an upright posture demonstrates attentiveness and professionalism during the interview.
D. Maintaining eye contact throughout the interview is generally considered a positive nonverbal behavior as it shows attentiveness, respect, and interest in the client's concerns.

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A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

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