A health care provider responds to a patient’s confidence level with, "What stops you from being 8 or 9 out of 10?" This reflects which approach?

The approach demonstrated by the health care provider's response is an example of an invitational challenge. By asking the patient what stops them from feeling more confident, the provider is prompting the patient to reflect on their own barriers and motivations, thus encouraging a deeper level of self-assessment and insight. This technique is useful in motivational interviewing, where the goal is to help patients explore their own thoughts and feelings to facilitate change.

Invitational challenges stimulate a discussion that can help patients identify and articulate their feelings and obstacles, promoting ownership of their journey toward improved health. Engaging patients in this manner supports their confidence and enhances their commitment to making positive lifestyle choices.

In contrast, the other options do not fully capture the essence of the provider’s inquiry. For example, double reflection involves mirroring back the patient's statements to enhance understanding, while the righting reflex focuses on correcting perceived errors in a patient's self-perception, which does not highlight the patient's capacity for change as promotes by the invited challenge. Rolling with resistance refers to acceptance and understanding of a patient's reluctance to change rather than proactively encouraging exploration of personal barriers. Thus, the provider's approach aligns most closely with an invitational challenge.