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?
Explanation & Rationale
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.