Which option is NOT a component of the OARS approach?

• A. Open-ended questions
• B. Affirmations of strengths
• C. Reflections and match the patients emotions
• D. Offering unsolicited advice

Answer: (D)

OARS comprises four skills used to guide conversations in motivational interviewing: Open-ended questions, Affirmations, Reflections, and Summaries. Open-ended questions invite the client to share richer information and explore ambivalence rather than counting on yes/no answers. Affirmations recognize strengths and efforts, which helps build the client’s confidence. Reflections involve listening and then restating or paraphrasing what the client has said, sometimes reflecting the emotion behind their words to show understanding. Summaries pull together the key points discussed and can help transition to next steps. Offering unsolicited advice is not part of OARS; motivational interviewing emphasizes eliciting the client’s own motivations and perspectives first, so guidance is provided in a way that supports autonomy rather than imposing direction.