Ch.4

Question 1

motivational interviewing

Answer 1

helping ambivalent people change their health behaviors

Question 2

Elicit-Provide-Elicit

Answer 2

• Use open-ended questions to understand what the client already knows on the topic.
• The coach reflects back or summarizes what the client has said, then provides information of most relevance in small doses.
• The coach checks back with the client to assess understanding and respond to the information.

Question 3

What are the 4 key factors of motivational interviewing

Answer 3

1. collaboration
2. acceptance
3. compassion
4. evocation

Question 4

What is collaboration

Answer 4

dancing rather than wrestling (let them lead)

Question 5

What is acceptance

Answer 5

unconditional positive regard
honoring a client’s absolute worth and recognizing their autonomy

Question 6

What is compassion

Answer 6

inner calling to give priority to the needs of the client; acts in selfless manner

Question 7

What is evocation

Answer 7

elicit from the client as to what they need to change and their reasons why

Question 8

Righting reflex

Answer 8

the tendency to give advice, push recommendations, and offer solutions; makes sustainable behavior change less likely for a client who is ambivalent about change

Question 9

Double sided reflection

Answer 9

sustain talk comes first followed by change talk

Question 10

open-ended questions

Answer 10

invite the clients to share more info, tell their stories, and paint a broader picture

Question 11

Affirmations

Answer 11

statements that reinforce clients’ strengths, intentions, accomplishments, and efforts

Question 12

Reflective

Answer 12

simple reflections or restatement of client’s words

Question 13

Listening

Answer 13

complex reflections, straight reflections, double-sided reflections, encouraging, paraphrasing

Question 14

Summarizing

Answer 14

emphasize and pull together certain parts of the convo that are especially helpful and useful

Question 15

Types of reflective listening

Answer 15

simple, double-sided, encouraging, paraphrasing

Question 16

Encouraging

Answer 16

short phrases to encourage the client to keep talking

Question 17

Paraphrasing

Answer 17

restating in a clear and concise way

Question 18

SMART goals

Answer 18

Specific
Measurable
Attainable
Relevant
Time-bound

Question 19

GROW model

Answer 19

Goal - establish a self-directed SMART goal using open-ended questions

Reality - explore the current situation and context

Options - helps clients brainstorm by empowering them to develop achieve their goals and potential obstacles

Will - formulate specific goals and action plans

Question 20

Reframing

Answer 20

identify counterproductive thoughts and beliefs, challenge them, and replace them with thoughts that are more likely to generate positive emotions and support behavior change

Question 21

Cognitive restructuring

Answer 21

attempting to replace habitual unproductive thinking with more helpful thoughts, learning to perceive and think about a situation in a new way

Question 22

Example of “jumping to conclusions”

Answer 22

“even if I end up losing a few pounds, I will gain it all back”

Question 23

Example of “all-or-nothing”

Answer 23

“I already ruined my diet by eating one cookie, I might as well eat the whole package”

Question 24

Example of “overgeneralizing”

Answer 24

“even with exercising more, I still can’t control my blood sugar. I will never lower my A1C”

Question 25

Example of “personalization and blame”

Answer 25

“It’s my bosses fault that I smoke because she stresses me out”

Question 26

Example of “labeling”

Answer 26

“of course I would forget my sneakers. I’m such an idiot”

Question 27

Example of “magnification or minimization”

Answer 27

“I need a few drinks after work to deal with all this stress.”

Question 28

OARS model

Answer 28

Open-ended questions
Affirm client’s thinking
Reflective listening
Summarize

Question 29

Seating arrangment

Answer 29

a seating that is situated at a 45 degree angle promotes a comfortable arrangement for coach and client