Midterm Study Quiz Flashcards

1
Q
  1. “Vertical ambivalence” refers to a scenario where:
    a) The client is aware of only one motivation for change
    b) Conflicting motivations are present but not recognized
    c) The client expresses a clear desire to change
    d) All motivations are aligned towards a goal
A

B

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2
Q
  1. How does MI support autonomy?
    a) By focusing solely on the clinician’s framework
    b) By directing clients toward specific choices
    c) By eliminating client questions
    d) By encouraging clients’ freedom of choice and self-direction
A

D

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3
Q
  1. In MI, what does “acceptance” mean?
    a) Creating a nonjudgmental space while valuing the individual’s choices
    b) Accepting all behaviors as they are without discussion
    c) Convincing clients to follow the counselor’s advice
    d) Agreeing with everything the client says
A

A

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4
Q
  1. In Motivational Interviewing, what does the acronym OARS stand for?
    a) Open-ended questions, affirming, reflections, summarizing
    b) Objectives, actions, resolutions, summaries
    c) Open-ended questions, active listening, reflections, summarizing
    d) Observations, affirmations, reflections, strategies
A

A

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5
Q
  1. The “Ask-Offer-Ask” strategy in MI involves:
    a) Providing unsolicited advice to strengthen trust
    b) Offering solutions at the start of the session
    c) Asking about the clinician’s qualifications
    d) Getting permission, offering information, and checking understanding
A

D

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6
Q
  1. The term “sustain talk” refers to:
    a) A focus on the negative aspects of behavior
    b) Expressions of uncertainty about change
    c) Language indicating a desire to continue with current behaviors
    d) Statements urging for immediate action
A

C

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7
Q
  1. What does “importance-strengthening strategy” in MI entail?
    a) Asking clients to reflect on extremes to clarify motivation
    b) Emphasizing the clinician’s authority and expertise
    c) Ignoring the client’s feelings to lay out pros and cons
    d) Focusing solely on skills training
A

A

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8
Q
  1. What does “reflective listening” aim to achieve?
    a) To assert the clinician’s perspective
    b) To decide the outcome of the session
    c) To acknowledge and validate the client’s expressions
    d) To guide the conversation in a new direction
A

C

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9
Q
  1. What does “self-determination theory” focus on in motivational contexts?
    a) Optimal medical treatment
    b) Motivation driven by autonomy, competence, and relatedness
    c) The role of observation in behavior change
    d) The necessity of external rewards
A

B

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10
Q
  1. What does the “20% Rule” in client engagement suggest practitioners should do?
    a) Spend the entire session analyzing the client’s problems
    b) Dedicate the first 20% of the session to client engagement
    c) Focus entirely on the final results
    d) Offer solutions right away based on experience
A

B

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11
Q
  1. What does the “Fixing Reflex” refer to in a helping relationship?
    a) An emotional reaction to a client’s distress
    b) A natural inclination to solve clients’ problems for them
    c) The need to create long-term plans
    d) The tendency to procrastinate addressing issues
A

B

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12
Q
  1. What is “activation” in the context of mobilizing change talk?
    a) Hearing clients express certainty in taking action
    b) Indicating that clients reflect on their ambivalence
    c) Encouraging clients to research alternatives
    d) Asking clients about their past failures
A

A

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13
Q
  1. What is “decisional balance” in the context of MI?
    a) Evaluating only the negative aspects of change
    b) Assessing the relative strengths of positive and negative motivations toward change
    c) A tool to enhance client’s urgency for immediate change
    d) A method to increase the clinician’s authority
A

B

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14
Q
  1. What is a key difference between MI and Cognitive Behavioral Therapy (CBT)?
    a) Both methods prioritize an equal sharing of power
    b) MI focuses on cognitive restructuring
    c) MI seeks to evoke internal motivations rather than imposing solutions
    d) CBT is entirely non-directive
A

C

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15
Q
  1. What is meant by “mobilizing change talk” in MI?
    a) Going back over previous statements
    b) Ignoring client resistance
    c) Involving others in the conversation
    d) Encouraging a blend of commitment, activation, and taking steps
A

D

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16
Q
  1. What is one of the main goals during the “planning” phase of MI?
    a) To create a detailed intervention plan for the client
    b) To convince the client of necessary actions
    c) To ensure the client understands the problem
    d) To help the client identify how to change
A

D

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17
Q
  1. What is the primary use of open-ended questions in MI?
    a) To gather basic information
    b) To confirm pre-existing assumptions
    c) To limit client responses
    d) To invite deeper exploration and dialogue
A

D

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18
Q
  1. What is the spirit of Motivational Interviewing primarily composed of?
    a) Cognitive restructuring and behavior modification
    b) Partnership, acceptance, compassion, and empowerment
    c) Collaboration, analysis, and psychoeducation
    d) Instruction, engagement, and directive counseling
A

B

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19
Q
  1. What role does “summarizing” play in Motivational Interviewing?
    a) To recite the client’s narrative back without interpretation
    b) To dominate the conversation
    c) To collect reflections and guide the conversation forward
    d) To reduce the length of the session
A

C

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20
Q
  1. What type of reflection involves guessing what a person might mean?
    a) Simple Reflection
    b) Amplified Reflection
    c) Discrepant Reflection
    d) Complex Reflection
A

D

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21
Q
  1. When is “asking permission” important in MI?
    a) To determine if the client is compliant
    b) When addressing the clinician’s agenda first
    c) Before offering information or advice to respect autonomy
    d) Only during the final session
A

C

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22
Q
  1. Which component is NOT included in the Health Belief Model?
    a) Cues to action
    b) Perceived barriers
    c) Reflective listening
    d) Perceived severity
A

C

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23
Q
  1. Which defines “Change Talk” in the context of MI?
    a) Expressions of unlikelihood to change
    b) Language that expresses a client’s desire, ability, reasons, or need for change
    c) Statements that reflect uncertainty about making changes
    d) Conversations aimed at persuading the client to act
A

B

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24
Q
  1. Which is NOT considered a component of MI’s spirit?
    a) Compassion
    b) Ignoring client autonomy
    c) Partnership
    d) Acceptance
A

B

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25
Q
  1. Which of the following is NOT one of the ten things that Motivational Interviewing (MI) is not based on?
    a) Cognitive behavioral therapy
    b) Theory of planned behavior
    c) Transtheoretical model
A

B

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26
Q
  1. Which of the following is an example of “self-efficacy” in health behaviors?
    a) External triggers prompting health actions
    b) The sum of reasons for wanting to change
    c) Believing that one can successfully quit smoking
    d) Internal feelings of resistance to change
A

C

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27
Q
  1. Why is it important to not confront a client displaying “dubious change talk”?
    a) Clients always appreciate direct confrontation
    b) Conflicts are necessary for growth
    c) It can increase the client’s defensiveness and disengagement
    d) It may lead to positive outcomes immediately
A

C

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28
Q
  1. “Autonomy Support” in MI means:
    a) Providing directive solutions for the client.
    b) Encouraging clients to take ownership of their decisions.
    c) Discouraging client input during discussions.
    d) Making decisions for the client to ensure they change.
A

B

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29
Q
  1. “Preparatory Change Talk” can be categorized with which acronym?
    a) MET
    b) EPE
    c) DARN
    d) OARS
A

C

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30
Q
  1. “Querying Extremes” as an MI technique involves what?
    a) Focusing solely on positive scenarios.
    b) Encouraging the client to reflect on the best and worst possible outcomes of change.
    c) Providing solutions based on extremes.
    d) Asking about the irrelevant aspects of consequences.
A

B

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31
Q
  1. “Self-Determination Theory” emphasizes three primary drivers; which of the following is NOT one of them?
    a) Competence
    b) Relatedness
    c) Autonomy
    d) Coercion
A

D

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32
Q
  1. In MI, what is the purpose of the “20% Rule”?
    a) To focus only on problem-solving for the remaining 80% of the session.
    b) To dedicate the first 20% of the session to building rapport and engagement.
    c) To spend minimal time engaging the client.
    d) To create a script that must be followed.
A

B

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33
Q
  1. In which stage of change are individuals thinking about making a change?
    a) Preparation
    b) Action
    c) Contemplation
    d) Pre-contemplation
A

C

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34
Q
  1. MI is a form of which of the following?
    a) Client-Centered Counseling
    b) Cognitive Behavioral Therapy
    c) Solution-Focused Brief Therapy
    d) Decisional Balance
A

A

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35
Q
  1. The concept of “Values” in MI helps orient clients towards:
    a) Formulating others’ values.
    b) Their personal desire for change.
    c) Underlying assumptions of the therapist’s views.
    d) A strict adherence to societal standards.
A

B

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36
Q
  1. The term “Intrinsic Motivation” refers to what?
    a) Motivational factors based on peer pressure.
    b) Motivations driven by external rewards.
    c) Motivation solely derived from consequences.
    d) Internal drive for engaging in activities for personal satisfaction.
A

D

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37
Q
  1. What are the four components of acceptance in MI?
    a) Accurate empathy, affirmation, absolute worth, and autonomy support.
    b) Goals, objectives, tasks, and actions.
    c) Reflection, summary, questioning, and advice.
    d) Topic selection, analysis, evaluation, and planning.
A

A

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38
Q
  1. What distinguishes “Sustain Talk” from “Change Talk”?
    a) There is no difference; both terms mean the same.
    b) Sustain talk promotes change, while change talk shows ambivalence.
    c) Sustain talk is supportive, while change talk is resistant.
    d) Sustain talk shows ambivalence, while change talk indicates a desire for change.
A

D

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39
Q
  1. What does “Elicit-Provide-Elicit” involve in MI?
    a) Providing unsolicited advice primarily.
    b) Providing information only when the client is ready.
    c) Asking permission first, then offering information, and checking in afterward.
    d) Eliciting only negative insights from clients.
A

C

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40
Q
  1. What does the “Acceptance” component in MI refer to?
    a) Disapproving of the client’s current behavior.
    b) Agreeing with the client’s decisions.
    c) Nonjudgmental acceptance of the client’s feelings and experiences.
    d) Encouraging the client to change quickly.
A

C

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41
Q
  1. What does the term “Change Talk” refer to in motivational interviewing?
    a) A client’s resistance to change.
    b) Language that indicates a client’s desire, ability, reasons, or need for change.
    c) Any discussion about therapy.
    d) Conversations about changing the therapist’s approach.
A

B

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42
Q
  1. What does the term “OARS” stand for in MI?
    a) Only Affirming, Reflecting, and Summarizing
    b) Open-ended questions, Affirmation, Reflection, Summarizing
    c) Offering, Advising, Recommending, Strengthening
    d) Observing, Asking, Reflecting, Summarizing
A

B

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43
Q
  1. What is “Decisional Balance”?
    a) Weighing the pros and cons regarding a decision to change.
    b) A process that focuses only on the positive aspects of change.
    c) An assessment used to analyze the therapist’s effectiveness.
    d) A specific technique used solely in motivational interviewing.
A

A

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44
Q
  1. What is “The Fixing Reflex” in the context of helping professions?
    a) A desire to assist and fix others’ problems
    b) An inclination to support clients’ choices.
    c) A therapeutic critique of the MI approach.
    d) A strategy to empower the client.
A

A

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45
Q
  1. What is one of the main principles of motivational interviewing (MI) related to partnership?
    a) The client is the expert of their own life.
    b) The client does not participate in decision-making.
    c) The therapist should lead the conversation.
    d) The therapist has more experience than the client.
A

A

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46
Q
  1. What is the primary focus of the “Health Belief Model”?
    a) To create health campaigns with no client focus.
    b) To prescribe medication for health-related issues.
    c) To understand health-related behaviors based on individual beliefs.
    d) To analyze behavioral patterns in a community.
A

C

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47
Q
  1. What type of reflection involves guessing what the client meant?
    a) Simple Reflection
    b) Affirmation
    c) Complex Reflection
    d) Summarization
A

C

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48
Q
  1. Which of the following best describes “Simple Reflection” in MI?
    a) Asking closed questions to guide the client.
    b) Stating back what the client has said without interpretation.
    c) Persuading the client to change.
    d) Providing the therapist’s opinion regarding the client’s feelings.
A

B

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49
Q
  1. “Importance Strengthening Strategies” aim to:
    a) Prioritize therapist-directed discussions
    b) Encourage clients to reflect on the significance of change
    c) Dismiss client concerns to shortcut the process
    d) Create a structured treatment plan for clients
A

B

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50
Q

“Mobilizing Change Talk” includes which of the following types?
a) Desire, Need, Apathy
b) Reasons, Reflections, Questions
c) Ability, Commitment, Taking Steps
d) Thoughts, Feelings, Interpretations

A

C

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51
Q

“The Fixing Reflex” refers to what tendency in helping professionals?
a) The inclination to control situations
b) The desire to assess clients thoroughly
c) The need to immediately solve problems
d) The urge to listen empathetically

A

C

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52
Q

In MI, what actually constitutes “Complex Reflection”?
a) Offering a guess about the deeper meaning of a client’s statement
b) Asking closed questions to clarify misunderstandings
c) Summarizing the entire session at the end
d) Paraphrasing a client’s exact words

A

A

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53
Q

In the context of MI, what does the term “Decisional Balance” refer to?
a) A strict decision-making framework
b) Weighing the pros and cons of potential changes
c) Evaluating the importance of different motivations
d) Assessing client’s historical behaviors

A

B

54
Q

The “Pendulum Technique” is used to:
a) Encourage clients to express emotions freely
b) Ensure compliance with therapeutic directives
c) Facilitate commitment to action
d) Validate conflicting feelings while prompting reflection on change

A

D

55
Q

The 20% Rule in MI emphasizes the importance of:
a) Structuring the session rigidly
b) Spending a fifth of the time on direct advice
c) Discussing the therapist’s goals before the client’s
d) Engaging the client for a significant relationship

A

D

56
Q

The Health Belief Model includes which component?
a) Perceived susceptibility
b) Excitement
c) Social expectations
d) Personal observations

A

A

57
Q

What does “Acceptance” in MI emphasize?
a) Reprimanding clients for their mistakes
b) Agreement with every decision a client makes
c) Encouraging clients to adhere strictly to instructions
d) Nonjudgmental acknowledgment of clients’ circumstances

A

D

58
Q

What does “Ambivalence” refer to in MI?
a) Complete acceptance of the current situation
b) Active encouragement of change talk
c) Conflicted feelings regarding change
d) A strong desire for a specific behavior change

A

C

59
Q

What does the acronym OARS stand for in MI?
a) Objectives, Analysis, Reactions, Solutions
b) Outcomes, Attitudes, Realizations, Supports
c) Open-ended questions, Affirmations, Reflections, Summaries
d) Options, Actions, Responses, Strategies

A

C

60
Q

What is a characteristic of “Sustain Talk” in MI?
a) Statements supporting the status quo
b) Affirmations of commitment to change
c) Clarifications about future plans
d) Language that indicates a readiness to change

A

A

61
Q

What is a key difference between MI and Cognitive Behavioral Therapy (CBT)?
a) MI is more structured than CBT
b) CBT is centered on client feelings and emotions
c) MI is based on strict assessments of client behavior
d) MI focuses on evoking motivation rather than direct behavior change

A

D

62
Q

What is an essential aspect of “Self-Determination Theory”?
a) It disregards the need for supportive relationships
b) It recognizes the importance of autonomy, competence, and relatedness
c) It emphasizes financial incentives for change
d) It focuses solely on structured skill-acquisition

A

B

63
Q

What is the essence of Motivational Interviewing (MI)?
a) A collaborative conversation to strengthen a person’s own motivation for change
b) A directive approach to instruct clients on necessary changes
c) A form of cognitive behavioral therapy focused on changing thoughts
d) A specific technique to enforce behavioral compliance

A

A

64
Q

What is the main purpose of summarizing in MI?
a) To convince the client of the session’s progress
b) To repeat what the client has said verbatim
c) To recapitulate and reflect back the client’s thoughts and feelings
d) To provide new information unrelated to the current conversation

A

C

65
Q

What is the primary goal of “Engaging” in the 4 Tasks of the Change Conversation?
a) To assess the severity of the client’s issue
b) To provide direct solutions to the client’s problems
c) To establish a connection and build trust
d) To persuade the client to act

A

C

66
Q

What should be avoided when dealing with “Dubious Change Talk”?
a) Confronting the discrepancies directly
b) Validating the client’s feelings
c) Asking open-ended questions
d) Reflective listening

A

A

67
Q

What significant role does “Compassion” play in MI?
a) Prioritizing clients’ well-being and alleviating suffering
b) Imparting knowledge decisively
c) Establishing authority in the therapeutic relationship
d) Asking only for their faults and issues

A

A

68
Q

What technique involves eliciting the pros and cons of a decision?
a) Elicit-Provide-Elicit
b) Importance-Supporting Strategies
c) Decisional Balance
d) Ambivalence Technique

A

C

69
Q

Which of the following accurately reflects “Change Language” in MI?
a) A dialogue focusing solely on the counselor’s views
b) Unstructured conversation without clear direction
c) Statements opposing the need for change
d) Clients articulating their own desires, abilities, and reasons for change

A

D

70
Q

Which of the following benefits is associated with “Valued Living”?
a) Increased mental health issues
b) A lack of resilience in facing challenges
c) Decreased life satisfaction during stressful events
d) Enhanced meaning and purpose in life

A

D

71
Q

Which of the following is NOT one of the ten things that MI is not?
a) MI is not just client-centered counseling
b) MI is not easy
c) MI is not based on the transtheoretical model
d) MI is not a magic solution

A

D

72
Q

Which of the following is a type of change talk that emphasizes urgency?
a) Need
b) Sustain
c) Desire
d) Commitment

A

A

73
Q

How does MI relate to the concept of “Self-Efficacy”?
a) It aims to build the client’s confidence in making changes
b) It dismisses the client’s perceived abilities
c) It entirely focuses on changing thoughts
d) It reduces the importance of self-belief

A

A

74
Q

In MI, what are “Mobilizing Change Talks” aimed at achieving?
a) Prompting readiness for behavior change
b) Focusing exclusively on past behaviors
c) Encouraging a wait-and-see approach
d) Sustaining current behavior patterns

A

A

75
Q

In the context of change talk, what does “DARN” stand for?
a) Decision, Approval, Realization, Necessity
b) Duration, Action, Resonance, Need
c) Desire, Ability, Reasons, Need
d) Development, Attitude, Reason, Negotiation

A

C

76
Q

The final stage of the Change Conversation in MI is known as what?
a) Planning
b) Focusing
c) Evoking
d) Engaging

A

A

77
Q

What are the four components of acceptance in MI?
a) Accurate empathy, affirmation, absolute value, support autonomy
b) Empowerment, engagement, motivation, compassion
c) Active listening, reflection, summarizing, questioning
d) Sympathy, criticism, validation, testing

A

A

78
Q

What does “Amplified Reflection” involve?
a) Offering a purely personal viewpoint
b) Restating the client’s experiences neutrally
c) Exaggerating the client’s experience for effect
d) Reflecting solely positive elements of the conversation

A

C

79
Q

What does “Ask-Offer-Ask” describe in an MI context?
a) A sequence of client-therapist interaction to share information
b) A method for validating therapist actions
c) A technique to conclude sessions effectively
d) A protocol for seeking client opinions

A

A

80
Q

What does “Commitment” in the context of mobilizing change talk indicate?
a) It highlights a lack of motivation
b) It suggests uncertainty about future actions
c) It provides assurance of actions to be taken
d) It reflects an unwillingness to change

A

C

81
Q

What does the term “Vertical Ambivalence” mean in MI?
a) Clear understanding of opposing views
b) An explicit choice between two options
c) A conflict between client values
d) Recognition of one motivation but unconsciousness of a contradictory motive

A

D

82
Q

What is the purpose of using “OARS” in MI?
a) To simplify the conversation
b) To promote judgmental feedback
c) To facilitate open and productive discussions
d) To encourage argumentation

A

C

83
Q

What type of questions are characterized as “Open-Ended” in MI?
a) Questions focused on a single topic
b) Questions that allow yes/no responses
c) Hypothetical questions with no basis
d) Questions that invite detailed client explanations

A

D

84
Q

When engaging with a client showing “Dubious Change Talk,” what is the best initial response strategy?
a) Agree to their statements to avoid conflict
b) Confront the client directly about their honesty
c) Inquire further using open-ended questions
d) Redirect the conversation entirely away from change

A

C

85
Q

Which MI spirit component emphasizes collaboration?
a) Empowerment
b) Partnership
c) Acceptance
d) Compassion

A

B

86
Q

Which of the following is NOT one of the ten things that MI is not?
a) MI is not a decisional balance
b) MI is not a technique
c) MI is not voodoo
d) MI is not a way of tricking people

A

C

87
Q

Which of the following is a foundational element of Self-Determination Theory?
a) Control
b) Resilience
c) Autonomy
d) Competition

A

C

88
Q

How does the ‘Pendulum Technique’ function in MI?
a) It organizes sessions into a strict structure
b) It strictly evaluates client behavior
c) It elicits change talk while validating ambivalence
d) It compels clients to commit to change

A

C

89
Q

How is acceptance in MI characterized?
a) It is conveyed through judgment and criticism
b) It emphasizes unconditional respect for the client
c) It involves directly correcting the client’s ideas
d) It requires agreement with the client

A

B

90
Q

What are the tasks involved in the change conversation in MI?
a) Analyzing, Structuring, Motivating, and Concluding
b) Evaluating, Advising, Directing, and Concluding
c) Engaging, Focusing, Evoking, and Planning
d) Assessing, Leading, Teaching, and Planning

A

C

91
Q

What can signify the readiness to take action within the context of Change Talk?
a) Commitment
b) Sustain talk
c) Desire
d) Reflection

A

A

92
Q

What does ‘autonomy support’ signify in MI?
a) Respected choice making by the client
b) Telling clients what to do
c) Acknowledging expert knowledge
d) Focusing solely on solutions

A

A

93
Q

What does MI aim to foster in clients?
a) A sense of helplessness
b) Resistance to change
c) Dependence on the therapist
d) Empowerment and motivation for self-directed change

A

D

94
Q

What does it mean when someone is in the ‘contemplation’ stage of Change?
a) They are firmly decided against change
b) They are considering change but not ready to act
c) They are unaware of any need for change
d) They are actively pursuing change

A

B

95
Q

What is ‘Valued Living’?
a) A technique for behavioral modification
b) Daily acts that connect to personal values
c) Living without concern for others
d) Non-engagement in stress

A

B

96
Q

What is motivational enhancement therapy?
a) An advanced form of traditional counseling
b) MI combined with assessment feedback
c) A technique solely focused on changing behaviors
d) A directive form of cognitive therapy

A

B

97
Q

What is one of the ten things that MI is not?
a) MI is not based on the transtheoretical model
b) MI is solely about client-centered counseling
c) MI is a simple persuasive technique
d) MI is a cognitive behavioral technique

A

A

98
Q

Which aspect of the MI spirit focuses on mutual respect and shared expertise?
a) Partnership
b) Empowerment
c) Acceptance
d) Compassion

A

A

99
Q

Which component of MI involves acknowledging individuals’ strengths and efforts?
a) Empowerment
b) Structuring
c) Affirmation
d) Compassion

A

C

100
Q

Which of the following is considered a component of the MI spirit?
a) Offering unsolicited advice
b) Reflecting expert knowledge
c) Nonjudgmental acceptance
d) Pressuring for change

A

C

101
Q

Which strategy is employed to deescalate discord?
a) Assertive communication
b) Empathy building
c) Authoritative feedback
d) Amplified reflection

A

D

102
Q

In motivational interviewing, what component is indicated by the statement: “on the one hand smoking relaxes you, and at the same time it costs you in money, athletic ability, and tension with your parents”?
a) Amplified Reflection
b) Simple Reflection
c) Double Sided Reflection
d) Complex Reflection

A

C

103
Q

In motivational interviewing, what does the ‘D’ in the acronym DARN CAT represent?
a) Decision
b) Desire
c) Direction
d) Determination

A

B

104
Q

In motivational interviewing, what does the term ‘evoking’ refer to?
a) Drawing out the client’s fears
b) Summarizing the session
c) Challenging the client’s perceptions
d) Bringing forth the client’s motivations

A

D

105
Q

In terms of MI spirit, what aspect is promoted by offering clients options?
a) Autonomy
b) Collaboration
c) Engagement
d) Compassion

A

A

106
Q

What aspect of motivational interviewing distinguishes it from client-centered therapy?
a) Engaging clients more deeply
b) Summarizing client goals
c) Encouraging independence
d) Evoking motivation for change

A

D

107
Q

What do motivational interviewing techniques aim to enhance?
a) Sympathizing with distress
b) The therapist’s authority
c) Control over the client
d) Client’s intrinsic motivation

A

D

108
Q

Why is hearing more sustain talk than change talk problematic?
a) It reflects a balanced perspective
b) It indicates readiness for change
c) It shows the client is not ready for change
d) It suggests the client is highly committed

A

C

109
Q

What does the term ‘psychological reactance’ refer to in the context of change?
a) Emotional clarity about change
b) Resistance when feeling forced to change
c) Positive feedback towards change
d) Passive agreement with techniques

A

B

110
Q

What is a characteristic of pre-contemplative stage in the stages of change?
a) An understanding of the risks involved
b) Increased importance of change
c) The person actively seeking change
d) Lack of awareness of the need for change

A

D

111
Q

What is the aim of the engagement process in motivational interviewing?
a) To provide solutions
b) To create a collaborative partnership
c) To understand client resistance
d) To enforce compliance with directives

A

B

112
Q

What is the part of motivational interviewing that offers a menu of options to clients?
a) Evocation
b) Engagement
c) Collaboration
d) Autonomy

A

D

113
Q

What is the term for the push-back that occurs when someone feels forced to make a change they are not ready for?
a) Change Resistance
b) Motivational Resistance
c) Behavioral Defiance
d) Psychological Reactance

A

D

114
Q

What process of the change conversation are you focusing on if you observe a lot of discord?
a) Engaging
b) Planning
c) Evoking
d) Focusing

A

C

115
Q

What term describes the reasons that a client gives for resisting change?
a) Change talk
b) Sustain talk
c) Reflective talk
d) Future talk

A

B

116
Q

What type of questions typically lead to a yes or no answer and narrow the conversation?
a) Probing questions
b) Reflective questions
c) Open-ended questions
d) Closed-ended questions

A

D

117
Q

Which approach increases client engagement in motivational interviewing?
a) Directive counseling
b) Confrontational questioning
c) Reflective listening
d) Providing solutions

A

C

118
Q

Which process primarily focuses on building a trusting relationship in motivational interviewing?
a) Engaging
b) Focusing
c) Planning
d) Evoking

A

A

119
Q

Which stage of change is focused on increasing the importance of change?
a) Action
b) Pre-contemplative
c) Maintenance
d) Contemplative

A

B

120
Q

Which term refers to the process of clarifying thoughts and feelings about change in motivational interviewing?
a) Sustaining
b) Engagement
c) Reflection
d) Negotiation

A

C

121
Q

In the acronym DARN CAT, what does the ‘T’ stand for?
a) Taking Steps
b) Trust
c) Taking Time
d) Talking

A

A

122
Q

In the stages of change, which stage focuses on increasing the importance of change?
a) Contemplation
b) Action
c) Pre-contemplation
d) Maintenance

A

C

123
Q

In which phase of change is a person typically unaware of the need for change?
a) Preparation
b) Pre-contemplation
c) Contemplation
d) Action

A

B

124
Q

Offering a menu of options supports which part of the motivational interviewing spirit?
a) Acceptance
b) Autonomy
c) Compassion
d) Collaboration

A

B

125
Q

What does ‘Evoking’ primarily aim to achieve in the motivational interviewing process?
a) Strengthen motivation and commitment
b) Provide solutions
c) Analyze feelings
d) Increase confrontation

A

A

126
Q

What does psychological reactance indicate about a person’s readiness for change?
a) They feel coerced and may resist
b) They appreciate being guided
c) They will follow suggestions
d) They are eager to change

A

A

127
Q

What is a potential consequence of focusing too much on sustain talk during a session?
a) Enhanced motivation
b) Improved rapport
c) Client will not change
d) Increased trust

A

C

128
Q

What process in motivational interviewing distinguishes it from client-centered therapy?
a) Planning
b) Reflecting
c) Engaging
d) Evoking

A

D

129
Q

The four components of acceptance in MI include accurate empathy, affirmation, absolute worth, and what?
a) Nonjudgmental Feedback
b) Autonomy Support
c) Collaboration
d) Client Compliance

A

B

130
Q

Which of the following is NOT one of the “Ten Things That MI is Not”?
a) MI is a technique
b) MI is not based on cognitive behavioral principles
c) MI doesn’t attempt to persuade
d) MI is not a panacea

A

C