LMBR Study Grp: Health Behavior Chg #1 Flashcards
General principles of motivational interviewing include all except:
A. Express empathy and understanding
B. Support self-efficacy
C. Roll with resistance
D. Develop discrepancy
E. Assist with problem solving and deeper understanding of underlying challenges
E (as part of CBT)
p42
Match the following statements to the definition:
1 You want to start taking your medication again.
2 Your girlfriend made you attend this session, is ‘that’ the only reason you are here.
3 I don’t like what smoking does to my health but it helps my stress.
4 It is hard to imagine, how could I possibly understand.
A. Amplified reflection
B. Shifting focus
C. Double sided reflection
D. Simple reflection
1-D
2-A
3-C
4-B
See p53
Regarding stages of change (transtheorerical model), which is false? (can be more than one option)
A- Patients cannot skip stages and may only stay in a stage for a maximum of 6 months.
B - Relapse is one of the stages, but not in the original model.
C - Considering making a change in the next sixth months is pre-contemplation.
D - After 6 months of the goal being maintained, the goal is considered is in the maintenance stage.
E - Having no awareness of the problem behaviour or not planning on making a change in the next 6 months is pre-contemplation.
A, C
Cognitive behavioural therapy (CBT) is:
(choose which is true, more than one may be correct)
A – most useful during the contemplation, preparation, action and maintenance stages of behaviour change.
B – is usually performed by any health professional with an interest in behaviour change.
C – includes basic principles of recognising and reframing non-productive thinking, being aware of underlying beliefs and emotions and working through the ABCDs of behaviour change.
D – includes recognising and reframing non-productive thinking, such as overgeneralising, discounting the positive or all-or-nothing thinking.
E – may help patients to address and understand the underlying challenges and obstacles that they face.
C, D and E
Expressing empathy, supporting self-efficacy, rolling with resistance and highlighting discrepancies are features of:
A. Motivational Interviewing
B. CBT
C. Positive psychology
D. Transtheoretical model
E. Reframing non-productive thinking
A.
p 42 and p 297
Which statement about Motivational interviewing is INCORRECT?
A. Hinges on the therapeutic alliance.
B. Has its origins in clinical trials aimed at managing problem drinking behaviour.
C. Is the newest behaviour change theory.
D. Supports self-efficacy.
Answer: C
Motivational interviewing is not a theory.
A, B come from the LM First Aid course.
Which of the following statements about CBT is INCORRECT?
A. Recognises and reframes unproductive thinking.
B. Often involves homework for the patient.
C. Assists with problem solving.
D. Used effectively in the precontemplative and contemplative phases of change.
D.
p42-43
What intervention is appropriate for a patient in the action stage of change?
A. Provide information about the benefits of change.
B. Develop discrepancy between where the patient is and where he/she wants to be.
C. Problem solve through obstacles.
D. Use motivational interviewing techniques.
E. Provide information about the need for change.
C.
p45
Principles of motivational interviewing include all EXCEPT:
A. Roll with resistance by remaining non-judgmental.
B. Perceived power or control over difficulties.
C. Express empathy, showing understanding of the situation.
D. Support self-efficacy by building patient’s confidence.
E. Develop discrepancy between where the patient is and where he/she wants to be.
B.
p42 and p40 (top of page)
B is part of theory of planned behaviour.
At what level of a patient’s confidence should a revised Plan of Action be geared towards?
Score out of 10.
Correct answer: 7/10
(p 49)
Part 1. Which is the correct summary of the 5A Model for Tobacco Cessation?
Part 2. Which is the correct summary of the 5A Model for general Behaviour Change Counselling?
A. Assess, Advise, Agree, Assist, Arrange
B. Ask, Assess, Agree, Assist, Arrange
C. Assess, Agree, Advise, Assist, Arrange
D. Ask, Advise, Assess, Assist, Arrange
E. Ask, Agree, Advise, Assist, Arrange
Correct Answer 1: D (p295)
Correct Answer 2: A (p49)
Which of the following is/are NOT one of the 6 key constructs that explain the thought process for behaviour change as per the Health Belief Model?
(1 or more answers)
1) Perceived expectations
2) Threat level
3) Cues to action
4) Perceived severity
1 and 2
P39
Threat level would be a function of perceived susceptibility/severity but not included as 1 of the 6 on its own.
The 6 Key Constructs are:
- Perceived susceptibility
- Perceived severity
- Perceived benefit
- Perceived barriers
- Cues to action
- Self efficacy.
[Mnemonic: “SS BB CaSe”]
Which of the following are part of the 4 principles of motivational interviewing? (Multiple answers)
1) Express sympathy
2) Identify weaknesses
3) Roll with resistance
4) Highlight discrepancy
3 and 4
p42
Which of the following consider self-efficacy as a construct or guiding principle?
A. Social learning (cognitive theory)
B. Transtheoretical model
C. Health belief model
D. Motivational interviewing
E. Theory of planned behavior
Options:
a) A only
b) both A and C
c) both B and D
d) A, B, C and D
e) All of the above
e) All of the above
See top of p41
Which of the following consider self-efficacy as a construct or guiding principle?
A. Social learning (cognitive theory) (p40 - apparently this was originally the only theory to include self-efficacy)
B. Transtheoretical model
C. Health belief model (p39)
D. Motivational interviewing (p 42 and 297)
E. Theory of planned behavior
The key behaviour theories have all of the following in common, with the exception of:
A. Beliefs about risks and benefits
B. Reciprocal determinism
C. Environmental influence
D. Motivation
E. Self-efficacy
B. Reciprocal determinism (this is specific to social learning (cognitive) theory) - p40
p40-41:
“Things the key behaviour theories have in common include:
a) Beliefs about risks and benefits
b) Motivation
c) Self-efficacy (originally only in social cognitive theory)
d) Environmental influence (eg social norms)”
