Midterm Study Quiz Flashcards
- “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
B
- 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
D
- 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
- 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
- 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
D
- 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
C
- 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
- 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
C
- 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
B
- 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
B
- 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
B
- 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
- 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
B
- 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
C
- 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
D
- 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
D
- 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
D
- 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
B
- 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
C
- What type of reflection involves guessing what a person might mean?
a) Simple Reflection
b) Amplified Reflection
c) Discrepant Reflection
d) Complex Reflection
D
- 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
C
- Which component is NOT included in the Health Belief Model?
a) Cues to action
b) Perceived barriers
c) Reflective listening
d) Perceived severity
C
- 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
B
- Which is NOT considered a component of MI’s spirit?
a) Compassion
b) Ignoring client autonomy
c) Partnership
d) Acceptance
B
- 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
B
- 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
C
- 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
C
- “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.
B
- “Preparatory Change Talk” can be categorized with which acronym?
a) MET
b) EPE
c) DARN
d) OARS
C
- “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.
B
- “Self-Determination Theory” emphasizes three primary drivers; which of the following is NOT one of them?
a) Competence
b) Relatedness
c) Autonomy
d) Coercion
D
- 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.
B
- In which stage of change are individuals thinking about making a change?
a) Preparation
b) Action
c) Contemplation
d) Pre-contemplation
C
- 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
- 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.
B
- 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.
D
- 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
- 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.
D
- 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.
C
- 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.
C
- 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.
B
- 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
B
- 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
- 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
- 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
- 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.
C
- What type of reflection involves guessing what the client meant?
a) Simple Reflection
b) Affirmation
c) Complex Reflection
d) Summarization
C
- 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.
B
- “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
B
“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
C
“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
C
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