The PMHNP wants to motivate a 35-year-old father with children to enter treatment for alcohol use disorder, but so far the client has not indicated he is interested in doing so. What would be an appropriate line of questioning?
Don't you want to be sober for your family? Do you want them to have an alcoholic father like you did?
Last time you told me you drink a six pack every night, but your wife said it's two six packs at least. Don't you see that only alcoholics lie about how much they drink?
Tell me what you've noticed about your alcohol use. How has it changed over time? What things have you noticed that concern you? What do you think could be problems or might become problems?
If you don't go to treatment for your alcohol use disorder, I'll be forced to call child protective services. Do you want to lose your children?
The Correct Answer is C
Choice A reason: This statement is confrontational and judgmental. It may provoke defensiveness and shame, which can hinder engagement in treatment. It does not align with motivational interviewing principles.
Choice B reason: This approach is accusatory and undermines trust. It labels the client and may damage the therapeutic alliance, making it less likely the client will consider treatment.
Choice C reason: This line of questioning reflects motivational interviewing techniques. It encourages self-reflection, respects the client’s autonomy, and helps elicit internal motivation for change. It is collaborative and nonjudgmental.
Choice D reason: Threatening consequences is coercive and unethical. It may escalate resistance and fear, and it violates the principles of patient-centered care and motivational interviewing.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: The p-value indicates the probability that observed results occurred by chance. It is used in conjunction with other tests, such as the t-test, but does not itself compare group means.
Choice B reason: ANOVA is used to compare means across three or more groups. While it is an inferential statistic, it is not the best choice when comparing only two groups.
Choice C reason: The t-test is specifically designed to compare the means of two groups to determine if they are statistically different. It is widely used in clinical and experimental research for this purpose.
Choice D reason: Pearson’s r correlation measures the strength and direction of a linear relationship between two variables. It does not assess differences in group means.
Correct Answer is C
Explanation
Choice A reason: Prazosin is an alpha-1 adrenergic antagonist commonly used to treat PTSD-related nightmares. It does not have significant CNS depressant effects and does not interact dangerously with buprenorphine. Therefore, it can be continued during induction.
Choice B reason: Escitalopram is a selective serotonin reuptake inhibitor (SSRI) used for anxiety and depression. It does not pose a significant risk when combined with buprenorphine and is generally safe to continue during induction.
Choice C reason: Alprazolam is a benzodiazepine with potent CNS depressant effects. When combined with buprenorphine, it increases the risk of respiratory depression, sedation, and overdose. Discontinuation or tapering is recommended prior to buprenorphine induction to reduce these risks.
Choice D reason: This option implies that no medications need to be discontinued, which is incorrect. Alprazolam poses a significant safety concern and should be reconsidered before initiating buprenorphine.
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