Registered Practical Nurse (RPN) Practice Test

What principle of motivational interviewing involves understanding the patient’s perspective?

1. Express empathy

2. Provide direct advice

3. Set strict goals

4. Challenge negative thoughts

The correct answer is: Express empathy

The principle of motivational interviewing that involves understanding the patient’s perspective is rooted in the concept of expressing empathy. This principle emphasizes the importance of listening to and validating the patient’s feelings, thoughts, and experiences. By expressing empathy, the healthcare provider builds a trusting relationship, which encourages open communication. This approach helps the patient feel understood and reduces resistance to change, making them more likely to explore their own motivations and readiness for change. Expressing empathy is crucial in motivational interviewing as it fosters a supportive environment where the patient feels safe to discuss their challenges and aspirations. In contrast, providing direct advice may not take into account the patient's unique perspective and could be perceived as directive rather than collaborative. Setting strict goals can lead to pressure and may not align with the patient's readiness or willingness to change, which can be counterproductive. Challenging negative thoughts often involves confronting the patient’s beliefs rather than understanding them, which could disrupt rapport and lead to defensiveness.