Hello! For class, I have to submit a 5-7 minute motivational interviewing video of myself (the Registered Nurse) interviewing a classmate or friend (the client) to support a health behavior change from one of the three scenarios
The scenario that I chose: Marjorie Evans, a 42-year-old female drinker. Elevated LFTs, HTN, abdominal distention, lower extremity edema
The interview must include:
• three (3) open-ended questions
• three (3) reflective listening statements
• a menu of three evidence-based options for addressing the behavior change
In this motivational interviewing video, I, as the Registered Nurse, will be engaging in a conversation with Marjorie Evans, a 42-year-old female who has been experiencing health issues related to her alcohol consumption. Marjorie’s elevated liver function tests (LFTs), hypertension (HTN), abdominal distention, and lower extremity edema indicate potential alcohol-related complications. As her nurse, I will use motivational interviewing techniques to explore her thoughts and feelings about her drinking habits and support her in making positive behavior changes for better health outcomes.
“Marjorie, can you tell me about your current alcohol consumption and how it has impacted your daily life and overall well-being?”
This question allows Marjorie to share her experiences and provides insights into how her drinking habits have affected her health and quality of life.
“What are your thoughts and feelings about the elevated liver function tests and other health concerns that have been linked to alcohol consumption?”
By asking this question, I hope to understand Marjorie’s awareness and perception of the health risks associated with her drinking behaviors.
“What are some reasons or factors that may be influencing your decision to continue drinking despite the negative health effects you have experienced?”
This question encourages Marjorie to explore any barriers or challenges she may face in making changes to her drinking habits.
“I can sense that you are concerned about the impact of alcohol on your health and well-being.”
Reflecting on Marjorie’s concerns shows empathy and validates her feelings, fostering a supportive and non-judgmental environment.
“It sounds like you are aware of the potential risks of alcohol-related complications and how they are affecting your daily life.”
This statement acknowledges Marjorie’s awareness of the consequences of her drinking behaviors, which can reinforce her motivation for change.
“You mentioned that social gatherings and stress have been triggers for your drinking. It’s understandable that these situations can be challenging for you.”
By reflecting on her triggers, I demonstrate understanding and compassion, creating a safe space for open communication.
“One evidence-based option to address your alcohol consumption is to consider seeking counseling or therapy, where you can explore the underlying reasons for your drinking and learn coping strategies for managing stress and triggers.”
“Another option is to join a support group for individuals struggling with alcohol use. This can provide you with a sense of community, peer support, and a safe place to discuss your experiences and progress.”
“Lastly, you may want to explore participating in a behavior change program that focuses on developing healthier habits and lifestyle choices. This can help you set realistic goals and develop an action plan to reduce or quit drinking.”
Motivational interviewing is a powerful approach to support individuals in making positive behavior changes for better health outcomes. In this video, I used open-ended questions to encourage Marjorie to share her thoughts and feelings about her alcohol consumption. Reflective listening statements validated her concerns and showed understanding. Additionally, I provided a menu of evidence-based options to address her drinking behavior, empowering her to choose a path that aligns with her goals and values. By using motivational interviewing techniques, I aim to support Marjorie on her journey towards healthier behaviors and improved well-being.
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