Question

Focusing on motivational interviewing strategy as a nurse, think of an example from your professional nursing practice and answer the below questions:

1. How might you apply the motivational interviewing approach or strategy to demonstrate culturally competent communication in the creation of caring environments with the interprofessional team?

2. What barriers might you encounter and how might you overcome them?

3. As a professional nurse, give a practical example (scenario) of how you applied the motivational interview strategy on a patient in your nursing practice over the years.

4. Evaluate Culturally competent communication skills and techniques in the creation of caring environments with the interprofessional - motivational interview

5. Explain how the holistic nursing journey affect how you provide care for self

Answer 1

EXAMPLE

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im assigned to mr .john williams,35 years old computer engineer .came to the hospital with the complaint of breathlessness and palpitation .he is over weight and has a BMI of 25

1.motivational interviewing approach

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****EXPRESS EMPATHY THROUGH REFLECTIVE LISTENING

****DEVELOP DISCREPANCY BETWEEN CLIENTS GOAL OR VALUES AND THEIR CURRENT BEHAVIOUR

****AVOID ARGUMENT AND DIRECT CONFRONTATION

*****ADJUST TO CLIENT RESISTANCE RATHER THAN OPPOSING IT DIRECTLY

*****SUPPORT SELF -EFFICACY AND OPTIMISM

*create good interpersonal relationship and trust of the patient (it help to diiscussion and motivation to the patient )

*identify the patient habits and life style (it help to life style modification)

*reassure the patient (prevent depression)

*proper education( prevent complications)

*promotions of health habits

*encurage to life syle modifications

2.BARRIERS AND SOLUTIONS

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IM TELL TO THE PATIENT ABOUT THE CONCERNED ABOUT HIS WEIGHT

///////////////// PATIENT DONT THINK HIS WEIGHT IS THAT SERIOUS ISSUE. he told to me half of the country has a weightn problem that not an issue

/////////// just i informed to him being overweight os one of the cause of your shortness of breath.moreover carrying extra weight predisposes you to health problems,so weight reduction help to prevent complications

very difficult to accept =========== evidence based talk

////////health habits -no physical acivity ,no breakfast,fast food,drinking habits,smoking,

///////////////hprovide more education to health and fitness

no way to change life sytle ===========encourage to do(motivation)

3 PATIENT EDUCATION IS MOST IMPORTANT IN NURSING SO MOTIVATIONAL INTERVIEWS MORE HELPFULL FOR EDUCATION .

4GOOD COMMUNICATION SKILL HELP TO THE ASSURANCE ,TRUST, FOLLOW INSTRUCTIONS .

5.HOLISTIC NURSES ARE THOSE WHO RECONGNIZE AND TREAT EACH PATIENT DIFFERENTLY.they nurture wholeness and healing by respecting each patients unique physical, mental,emotional,spiritual and environmental strengths ans challenges and honoring each patients value ,health beliefs and health experience