What is the role of open-ended questions in motivational interviewing within case management?

• A. Open-ended questions restrict patient responses to yes/no.
• B. They are never used in case management.
• C. Open-ended questions invite discussion and elicit information about readiness to change.
• D. They replace all other communication strategies.

Answer: (C)

Open-ended questions in motivational interviewing are used to invite discussion and uncover readiness to change. They encourage the client to share thoughts, beliefs, concerns, and ambivalence in their own words, rather than giving simple yes/no answers. This helps you understand what motivates them, what barriers exist, and how they perceive possible changes, so you can tailor the plan and support accordingly. They also foster collaboration and rapport, which is essential for exploring ambivalence and evoking motivation. At the same time, these questions work best as part of a set of communication strategies—alongside reflective listening, affirmations, and concise summaries—not as a replacement for all other techniques. For example, asking, “What would need to happen for you to consider making this change?” invites meaningful dialogue and reveals readiness levels.