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NCLEX-PN
NCLEX-PN
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13 more sections with scenarios, priorities, and review drills.
MI is NOT advice-giving with good rapport — the clinician resists the 'righting reflex' (urge to fix, correct, warn, persuade)
MI SPIRIT = PACE: Partnership (with, not for), Acceptance (autonomy support), Compassion (patient's best interest), Evocation (draw out their own reasons). OARS for the boat of change: Open questions row you forward, Affirmations keep wind in sails, Reflections navigate, Summaries check your position.
Clinical framing, safety cues, prioritization patterns, and exam-style rationale for Motivational Interviewing.
For Motivational Interviewing, connect the assessment cue to the immediate risk before selecting an action for PN. Start with stability, ABCs, neurologic change, medication risk, infection risk, and scope of practice. Then decide whether the safest next step is assess, intervene, escalate, teach, or evaluate response.
A missed priority in Motivational Interviewing can delay recognition of deterioration or allow preventable harm to continue. Safety focus: MI SPIRIT = PACE: Partnership (with, not for), Acceptance (autonomy support), Compassion (patient's best interest), Evocation (draw out their own reasons). OARS for the boat of change: Open questions row you forward, Affirmations keep wind in sails, Reflections navigate, Summaries check your position.
In a Motivational Interviewing item, explain the first cue you noticed, the complication it predicts, the nursing action within scope, and the finding that proves the response worked.
MI is NOT advice-giving with good rapport — the clinician resists the 'righting reflex' (urge to fix, correct, warn, persuade) This keeps Motivational Interviewing reasoning tied to client safety instead of recall-only studying.
Review this topic against the current pathway blueprint or test plan, facility policy, medication monographs, and current clinical practice guidance. NurseNest content is educational and should be reconciled with local protocols and provider orders.
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