Question 1

A practitioner wants to roll with resistance with one of her clients who is in the pre-contemplation stage. What should she focus on?

Accepted Answer

A)  Determining persuasive arguments supporting the need for change. 
B)  Point out inconsistencies between the client's behaviors and words. 
C)  Identify cognitive distortions in the client's ideas about his/her situation. 
D)  Accepting and understanding the client's point of view.

Question 2

Janice tells you on the first session that her mom is forcing her to come see you, and she has nothing she wants to work on. Which two motivational interviewing skills would be particularly helpful at this stage?

Accepted Answer

A)  Identifying discrepancies and rolling with resistance 
B)  Expressing empathy and identifying discrepancies 
C)  Support self-efficacy and rolling with resistance 
D)  Expressing empathy and supporting self-efficacy

Question 3

When working with clients in the contemplation stage, which of the following is NOT one of the goals at this stage?

Accepted Answer

A)  Support the client's feelings of ambivalence about making a change. 
B)  Encourage the client to acknowledge and believe in their ability to carry out and succeed with specific goal-oriented tasks. 
C)  Help the client gain a clearer understanding of what they want. 
D)  Help the client become aware of patterns and themes related to their problem.

Question 4

Partializing involves

Accepted Answer

A)  breaking a complex problem into manageable parts. 
B)  preferring one option to another. 
C)  making problems seem more overwhelming than they actually are. 
D)  communicating only part of the problem to the client.

Question 5

All of the following are useful for clients in the contemplation stage EXCEPT

Accepted Answer

A)  state or restate the problems or challenges to be sure there is a clear understanding. 
B)  delineate clear goals and the timing of beginning steps. 
C)  discuss the client's perception of both the advantages and disadvantages of making a change. 
D)  support the client's feelings of ambivalence toward making a change.

Question 6

What is the difference between a pattern and a theme?

Accepted Answer

A)  A theme refers to a consistent way of thinking, feeling, or behaving while a pattern refers to an idea/point of view shared by several people. 
B)  A theme is unique to the individual and therefore is more difficult to change than a pattern. 
C)  A pattern is unique to the individual and therefore more difficult to change than a theme. 
D)  A pattern refers to a consistent way of thinking, feeling, or behaving while a theme refers to an idea/point of view shared by several people.

Question 7

Identifying discrepancies involves pointing out an incongruity between the client's _____________ and ______________.

Accepted Answer

A)  present behavior; actions 
B)  thoughts; words 
C)  present behavior; something s/he values 
D)  values; the practitioner's values

Question 8

Your client is a low-income single parent who has just had her children taken away by child protective services CPS) for neglect. She currently has no job and often spends her welfare check partying with her friends. She lives with her parents and 4 other siblings in a small 2-bedroom apartment. Her social worker at CPS has told her that she needs to get her own place, find a job, and "clean up her act" before she can get her children back. Help her partialize her problem to determine the most effective way to regain custody of her children.

Accepted Answer

The answer of Your client is a low-income single parent...

Question 9

Advanced reflecting is also known as all of the following EXCEPT

Accepted Answer

A)  advanced empathy. 
B)  additive reflecting. 
C)  additive empathy. 
D)  going beyond.

Question 10

What are clients in the preparation stage preparing to do?

Accepted Answer

A)  Set goals and think about steps necessary to achieve their goals. 
B)  Weigh the pros and cons of changing a behavior. 
C)  Decide on a problem to work on. 
D)  Cope with a crisis.

Exam 12: Identifying Key Problems or Challenges