A 64 year old client comes to see you after a referral from their doctor for high levels of hypertension and reports of smoking and drinking. The client is also moderately overweight and fairly sedentary, which can contribute to hypertension. They report reluctance to take their medication, to stop smoking or drinking, or to lose weight. They tell you, "What difference will it make anyway?" How might you respond using Motivational Interviewing as well as the skills of Engagement? How will you establish rapport and determine what is their presenting concern and level of motivation for change? Include specific statements about what you might say.