Question 1

Which of the following would be a LESS likely recommendation for working with a client exhibiting high trait resistance?

Accepted Answer

A)   Reduced structure and planning
B)   Written attendance agreement
C)   More objective measures of progress
D)   Consultation with other persons involved in the case A

Question 2

When client goals are formulated in terms of what is desired or preferred rather than what is to be avoided or eliminated, this demonstrates____________ .

Accepted Answer

A)   honoring the client's preferences
B)   exploring the client's instead
C)   speaking the client's language
D)   offering legitimate commendations B

Question 3

Miller and Rollnick (1991) developed all of the following MI guidelines for offering advice or recommendations EXCEPT:

Accepted Answer

A)   helpers should qualify any suggestions made and present advice in a deliberately non-personal way.
B)   helpers should not be too eager to give advice.
C)   helpers should not wait to receive permission from the client.
D)   helpers should offer not one piece of advice but a cluster or a menu of options. C

Question 4

Helper: " Many times people notice in between the time they make the appointment for therapy and the first session that things already seem different. What have you noticed about your situation?" The helper's question is most likely a________ question.

Accepted Answer

A)   past-exception
B)   miracle
C)   future-exception
D)   coping question

Question 5

___________reflections add substantial meaning or emphasis to what the client is saying.

Accepted Answer

A)   Open-ended
B)   Complex
C)   Simple
D)   Double-sided

Question 6

Which of the following interventions reflect a humanistic and client-helper collaborative philosophy that can be used to address ambivalence in clients?

Accepted Answer

A)   Cognitive and solution-focused
B)   Solution-focused and motivational interviewing
C)   Motivational interviewing and behavioral
D)   Behavioral and solution-focused

Question 7

Client: "She pushes my buttons. She knows exactly what to say and it makes me crazy." Please construct a scaling question in response to the client.

Accepted Answer

The answer of Client: "She pushes my buttons. She knows...

Question 8

A client presents with symptoms of depression. The helper responds, "I'm here to help you with your feelings of worthlessness." According to MI, this would be considered a_________ statement.

Accepted Answer

A)   reflective
B)   complex
C)   reframing
D)   supportive

Question 9

Rosengren (2009) offered all of the following recommendations for affirmations EXCEPT:

Accepted Answer

A)   focus on evaluations and not descriptions.
B)   focus on specific behaviors.
C)   avoid using "I."
D)   attend to non-problem areas rather than problem areas.

Question 10

In MI, a double-sided reflection:

Accepted Answer

A)   mirrors the client's emotion or perception via repetition or rephrasing.
B)   amplifies the emotion conveyed in the client's message.
C)   challenges the evidence for the client's opinion or perception.
D)   acknowledges the client's ambivalence as signaled by the use of "but."

Question 11

Solution-focused practitioners focus on_______ .

Accepted Answer

A)   origins of problems and problem-solving
B)   skill deficits and skill-building
C)   pathology and changing of problematic patterns
D)   exceptions and possibilities

Question 12

Resistance states is more descriptive of an individual's personality and is less subject to change.

Accepted Answer

A) True 
 B)False

Question 13

According to Motivational Interviewing philosophy, resistance is:

Accepted Answer

A)   generated by the client.
B)   attributed to the helper.
C)   an interactional occurrence.
D)   emanates from either the client or helper.

Question 14

How does MI define resistance? What is the helper's role in resistance?

Accepted Answer

The answer of How does MI define resistance? What is...

Question 15

DiClemente (2003) suggested that ambivalence could be viewed as the opposite of and therefore can be an asset to the change process.

Accepted Answer

A)   resistance
B)   impulsivity
C)   reactance
D)   reluctance

Question 16

Miller and Rollnick (2013) recommend that when practicing motivational interviewing, the helper should offer at least two reflections for every question asked.

Accepted Answer

A) True 
 B)False

Question 17

Which of the following statement is NOT a theme associated with MI?

Accepted Answer

A)   Motivational interviewing espouses a humanistic, helper-centered style.
B)   Motivational interviewing is designed to evoke and explore ambivalence.
C)   Motivational interviewing adopts a directive approach.
D)   Motivational interviewing focuses on client speech and assisting clients to voice arguments for change.

Question 18

Personalization refers to the acceptance and incorporation of what the client represents and presents.

Accepted Answer

A) True 
 B)False

Question 19

In solution-focused approaches, the client is viewed as a(n) and the helper is viewed as a(n)___________ in the process of identifying what will be helpful.

Accepted Answer

A)   student; student
B)   student; expert
C)   expert; student
D)   expert; expert

Question 20

According to Berg and Miller (1992), when the client and helper have jointly identified and agreed upon a workable goal, this is an example of a ____________relationship.

Accepted Answer

A)   customer-type
B)   mandated-type
C)   complainant-type
D)   visitor-type

Exam 10: Strategies for Working With Resistance: Solution Focused Therapy and Motivational Interviewing

Which of the following would be a LESS likely recommendation for working with a client exhibiting high trait resistance?

When client goals are formulated in terms of what is desired or preferred rather than what is to be avoided or eliminated, this demonstrates____________ .

Miller and Rollnick (1991) developed all of the following MI guidelines for offering advice or recommendations EXCEPT:

Helper: " Many times people notice in between the time they make the appointment for therapy and the first session that things already seem different. What have you noticed about your situation?" The helper's question is most likely a________ question.

___________reflections add substantial meaning or emphasis to what the client is saying.

Which of the following interventions reflect a humanistic and client-helper collaborative philosophy that can be used to address ambivalence in clients?

Client: "She pushes my buttons. She knows exactly what to say and it makes me crazy." Please construct a scaling question in response to the client.

A client presents with symptoms of depression. The helper responds, "I'm here to help you with your feelings of worthlessness." According to MI, this would be considered a_________ statement.

Rosengren (2009) offered all of the following recommendations for affirmations EXCEPT:

In MI, a double-sided reflection:

Solution-focused practitioners focus on_______ .

Resistance states is more descriptive of an individual's personality and is less subject to change.

According to Motivational Interviewing philosophy, resistance is:

How does MI define resistance? What is the helper's role in resistance?

DiClemente (2003) suggested that ambivalence could be viewed as the opposite of and therefore can be an asset to the change process.

Miller and Rollnick (2013) recommend that when practicing motivational interviewing, the helper should offer at least two reflections for every question asked.

Which of the following statement is NOT a theme associated with MI?

Personalization refers to the acceptance and incorporation of what the client represents and presents.

In solution-focused approaches, the client is viewed as a(n) and the helper is viewed as a(n) ___________ in the process of identifying what will be helpful.

According to Berg and Miller (1992) , when the client and helper have jointly identified and agreed upon a workable goal, this is an example of a ____________relationship.