IIN Mod 5 - Embrace Real Change

Question 1

the arousal, direction, and persistence of a person’s behavior, which energizes and activates them to work toward a desired outcome or goal

Answer 1

motivation

Question 2

motivation is sustained through __ rather than __ goals

Answer 2

internal vs external

Question 3

__ __ are driven by a personal desire to achieve an outcome for the client’s happiness and well-being.

Answer 3

Internal (intrinsic) goals

Question 4

__ __ are driven by achieving an external award or a desire to avoid an external punishment.

Answer 4

External (extrinsic) goals

Question 5

a framework for motivation and factors that can undermine or support motivation

Answer 5

self-determination theory

Question 6

__ __ __ proposes that people have a natural tendency to want to grow and master new challenges – but the right conditions must be present to support and nourish this tendency

Answer 6

self-determination theory

Question 7

self-determination theory proposes 3 needs to help build motivation

Answer 7

1. competence
2. relatedness
3. autonomy

Question 8

the ability to learn new skills and master new tasks supported through
regular and genuine positive feedback

Answer 8

competence

Question 9

a sense of positive attachment or belonging to others supported through cheering on one another

Answer 9

Relatedness (or connectedness)

Question 10

having options or choices that allow individuals to feel in control of their goals and actions supported through cultivating the client as an expert on themselves

Answer 10

Autonomy

Question 11

Emotions are by-products of motivation that also fuel motivation and drive change. Providing space for clients to express and work through strong emotions can lead to __ __

Answer 11

generative moments

Question 12

emotionally charged moments of inspiration, insight, and clarity that occur as a client progresses toward their wellness vision

Answer 12

generative moments

Question 13

a masterful coach will do these 3 things

Answer 13

1. guide client to become aware of emotions, allowing them to lean into feels rather than turn away from discomfort
2. provide an empathetic connection
3. give clients proper space to express full range of emotions

Question 14

the capacity to be aware of, control, and express one’s emotions and handle interpersonal relationships judiciously and empathetically

Answer 14

Emotional intelligence (EQ)

Question 15

What are the 3 skills involved in EQ?

Answer 15

1. emotional awareness - your’s and others
2. ability to harness emotions & apply them to tasks
3. ability to manage emotions - regulate ur own + approp respond to to others

Question 16

To help clients harness their emotions as energy for goal achievement…

Answer 16

• monitor their emotional state + ack what they’re feeling
• ask clients to name emotion feeling
• show compassion while remaining grounded
• remind clients that emotions are just energy in motion
• help clients tap into to fuel and sustain actions toward goal achievement

Question 17

What is motivational interviewing?

Answer 17

a non-directive, client-centered counseling approach to support change in an engaging and non-threatening way; a collaborative and goal-oriented type of communication with an emphasis on the language of change

Question 18

What is the overall goal of MI?

Answer 18

The overall goal of MI is to help clients manage their progress toward their personal goals and become accountable for their thoughts, actions, and beliefs.

Question 19

MI is designed to do these things

Answer 19

1. strengthen intrinsic motivation for commitment to goal
2. work with client through their ambivalence about pursuing their health goals (esp in middle sessions)
3. work thru the paradox of change

Question 20

__ __ __ is the feeling of freedom to consider change – rather than get stuck in defensiveness – that can occur for clients when they feel completely accepted for who they are and what they do

Answer 20

paradox of change

Question 21

What are the 4 basic principles of motivational interviewing?

Answer 21

1. express empathy thru reflective listening
2. reveal discrepancies b/w client’s goals/values & current behavior
3. roll w/ resistance
4. support client self-efficacy, autonomy & optimism

Question 22

What are the principles of MI (RULE)?

Answer 22

R – Resist the righting reflex (urge to fix things, tell a client what to do, or share advice)

U – Understand client’s motivation & values around making a change

L – Listen with curiosity for “change talk” and “sustain talk.”

E – Empower client to build self-efficacy

Question 23

What is the spirit of motivational interviewing (PACE)?

Answer 23

P - partnership (collab w/ clients)
A- acceptance + autonomy (accept client’s decisions; more likely to change if their reasons/motivation are driving forces)
C- compassion (no judgement regardless of outcome)
E - evoking (coach’s job to evoke/pull answers out of client rather than educate or tell them what to do)

Question 24

The 4 major communication techniques of MI are (OARS)?

Answer 24

O - open-ended ?s
A- affirm (affirm client’s choices + actions)
R - reflect (reflections that point to discrepancies)
S- summarize (summarize to keep convo moving forward and track progress)

Question 25

Every MI session has a four-step overall flow of communication:

Answer 25

1. Engage
2. Focus
3. Evoke
4. Plan

Question 26

What is the ENGAGE phase?

Answer 26

The first of the communication process where coach established a healthy connection and supportive working relationship
- rapport
- empathy
-safe space

Question 27

What is the FOCUS phase?

Answer 27

The FOCUS stage is where coach + client develop/maintain a specific direction in the convo about change while regulating the pace
- if unsure, ask permission to offer help
- utilize wellness wheel or circle of life to identify focus
- listen + redirect when clients stray from goal

Question 28

What is the EVOKE phase?

Answer 28

This is where the coach assesses the client’s readiness to change in order to achieve their goal. They help client tap into intrinsic motivation in order to increase change talk + decrease sustain talk.
- explore change vs sustain talk
- probing ?s w/ curiosity to inspire clients to think deeper
- provide empathy to validate struggles
- listen for change talk to strengthen client’s commitment

Question 29

statements or nonverbal cues that support behavior change

Answer 29

change talk

Question 30

statements or nonverbal cues in opposition of the behavior change, usually a rationale or justification to defend a client’s decisions or behavior

Answer 30

sustain talk

Question 31

What is the PLAN phase?

Answer 31

Planning begins when the client’s change talk outweighs their sustain talk & client feels ready to commit. This is to help prepare client to take action independently.
- summarize client’s change talk
- ask about next steps
- let client choose what’s best for them
- let client know change is gradual process