NSG 527 MIDTERM Exam Study Guide
Six Stages of Change
(Ans1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
6. Termination
Why people do not change
(Ans- People will change when they are ready, willing, and able
Principle of behavioral change (TTM and MI)
(Ans1. Express Empathy: Refers to the practitioner making a genuine effort to
understand the client's perspective and an equally genuine effort to convey
that understanding to the client. This is an inherent element of reflective
listening. It embodies the spirit of MI. Rogers (1962) "...as I see it is that the
counselor is experiencing an accurate empathic understanding of his
client's private world and is able to communicate some of the significant
fragments of that understanding." "When the client's world is clear to the
counselor...he can also voice meanings in the client's experience of which
the client is scarcely aware..." He referred to this "highly sensitive" empathy
as important for making it possible for a person to get close to himself and
to learn, to change and develop.
2. Develop Discrepancy: This is to listen for or employ strategies that
facilitate the client's identification of discrepant elements of a particular
behavior or situation. Example, values versus behaviors: It is important to
the client to be a responsible parent; the client is having difficulty averting
heroin addiction. Discrepancy may result in the client's experience of
ambivalence. Areas of discrepancy may include past versus present,