Question 1

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

Accepted Answer

In solution-focused approaches, the client is seen as the expert on their own life and needs, while the helper (therapist, counselor, etc.) adopts a learning stance, acting more as a student or facilitator to help uncover solutions.

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

Accepted Answer

B

Question 3

Which of the following does NOT apply to the concept of ambivalence?
A) Ambivalence can be described as a stable form of compliance.
B) Ambivalence leads to a sense of being stuck.
C) Ambivalence is experienced as a pull in two differing directions.
D) Ambivalence is characterized by indecision.

Accepted Answer

Ambivalence refers to the state of having mixed feelings or contradictory ideas about something or someone, which can lead to indecision or feeling stuck due to being pulled in two different directions. It does not imply a stable form of compliance, as compliance suggests agreement or acquiescence, which is not inherent to the experience of ambivalence.

Question 4

Which of the following would be a LESS likely recommendation for working with a client exhibiting high trait resistance?
A) Reduced structure and planning
B) Written attendance agreement
C) More objective measures of progress
D) Consultation with other persons involved in the case

Accepted Answer

Reduced structure and planning would be less likely recommended for a client exhibiting high trait resistance because structure and planning can provide a sense of predictability and safety, which can help in managing resistance. The other options (B, C, D) are strategies that can help in engaging the client and monitoring progress, which are useful in working with resistant clients.

Question 5

Which of the following interventions reflect a humanistic and client-helper collaborative philosophy that can be used to address ambivalence in clients?
A) Cognitive and solution-focused
B) Solution-focused and motivational interviewing
C) Motivational interviewing and behavioral
D) Behavioral and solution-focused

Accepted Answer

Motivational interviewing and solution-focused techniques both emphasize collaboration between the client and the helper, focusing on the client's strengths and motivations to foster change, aligning with a humanistic approach.

Question 6

When a helper asks a client, "Let's say we identify some goals to work on and we are making progress. How will you know when this has occurred?" This is an example of a:
A) past-exception question.
B) miracle question.
C) future-exception question.
D) coping question.

Accepted Answer

This is an example of a future-exception question, which is a technique used in solution-focused therapy. It helps clients envision a future where their current problems are resolved or less impactful, thereby identifying potential goals and recognizing signs of progress.

Question 7

Resistance is defined as all EXCEPT which of the following?
A) Behavior that fosters progress toward change
B) Behavior that impedes progress toward change
C) Attempts to prevent losses associated with change
D) Attempts to restore losses associated with change

Accepted Answer

Resistance is typically defined as behavior that impedes progress toward change, attempts to prevent losses associated with change, or attempts to restore losses associated with change. Behavior that fosters progress toward change is not considered resistance.

Question 8

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

Accepted Answer

The answer of Personalization refers to the acceptance and incorporation...

Question 9

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

Accepted Answer

Resistance to change is more situational or contextual rather than a fixed aspect of an individual's personality, and it can vary depending on specific circumstances or environments.

Question 10

Solution-focused practitioners focus on_______ .
A) origins of problems and problem-solving
B) skill deficits and skill-building
C) pathology and changing of problematic patterns
D) exceptions and possibilities

Accepted Answer

Solution-focused practitioners emphasize identifying times when the problems don't occur (exceptions) and exploring potential solutions and future possibilities rather than focusing on the problem's origins, skill deficits, or pathology.

Question 11

With respect to resistance, Motivational Interviewing practitioners would support all EXCEPT which of the following statements?
A) If resistance increases during session, it is likely in response to something the client is doing.
B) The recommendation that helpers "roll with resistance" or otherwise "sidestep resistance," means that it should be met with reflection and appropriate reframing.
C) Resistance is a natural and expected part of the change process.
D) Both client and helper are part of the development and resolution of resistance.

Accepted Answer

The correct statement is that if resistance increases during a session, it is likely in response to something the practitioner is doing, not the client. Motivational Interviewing emphasizes the practitioner's role in managing and responding to resistance, suggesting that an increase in resistance may indicate a need for the practitioner to adjust their approach.

Question 12

According to Motivational Interviewing philosophy, resistance is:
A) generated by the client.
B) attributed to the helper.
C) an interactional occurrence.
D) emanates from either the client or helper.

Accepted Answer

Resistance in Motivational Interviewing is viewed as an interactional occurrence, meaning it arises within the context of the interaction between the helper and the client, rather than being solely generated by one party or the other.

Question 13

In a study of clients who were abusing drugs, Amrhein and colleagues (2004) observed that the __________of commitment talk best predicted eventual abstinence.
A) absence
B) frequency
C) intensity
D) duration

Accepted Answer

The intensity of commitment talk was found to be the best predictor of eventual abstinence in the study by Amrhein and colleagues.

Question 14

_________is comprised of the behaviors exhibited (e.g., opposition, defiance) and the feelings experienced (e.g., frustration, rage) when an individual's personal freedom has been threatened or eliminated.
A) Reliance
B) Reluctance
C) Resistance
D) Reactance

Accepted Answer

Reactance is a psychological response to rules or regulations that threaten or eliminate specific behavioral freedoms; it can manifest in behaviors such as opposition or defiance and feelings like frustration or rage.

Question 15

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

Accepted Answer

A customer-type relationship is characterized by a mutual agreement on goals between the client and helper, indicating a collaborative and voluntary interaction where both parties work together towards a common objective.

Question 16

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

Accepted Answer

The question is asking the client to reflect on any changes or exceptions that have occurred since making the appointment, which aligns with the concept of past-exception questions.

Question 17

In MI, a double-sided reflection:
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."

Accepted Answer

A double-sided reflection in Motivational Interviewing acknowledges the client's ambivalence, often signaled by the use of "but," by reflecting both sides of their mixed feelings or thoughts.

Question 18

DiClemente (2003) suggested that ambivalence could be viewed as the opposite of and therefore can be an asset to the change process.
A) resistance
B) impulsivity
C) reactance
D) reluctance

Accepted Answer

The answer of DiClemente (2003) suggested that ambivalence could be...

Question 19

All EXCEPT which of the following is a type of client-helper relationship described by Berg and Miller (1992)?
A) The customer-type
B) The mandated-type
C) The complainant-type
D) The visitor-type

Accepted Answer

Berg and Miller (1992) describe three types of client-helper relationships: the customer-type, the complainant-type, and the visitor-type. The mandated-type is not one of them.

Question 20

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

Accepted Answer

Motivational interviewing is client-centered, not helper-centered, focusing on the client's perspective and motivations.

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

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.

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

Which of the following does NOT apply to the concept of ambivalence?

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

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

When a helper asks a client, "Let's say we identify some goals to work on and we are making progress. How will you know when this has occurred?" This is an example of a:

Resistance is defined as all EXCEPT which of the following?

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

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

Solution-focused practitioners focus on_______ .

With respect to resistance, Motivational Interviewing practitioners would support all EXCEPT which of the following statements?

According to Motivational Interviewing philosophy, resistance is:

In a study of clients who were abusing drugs, Amrhein and colleagues (2004) observed that the __________of commitment talk best predicted eventual abstinence.

_________is comprised of the behaviors exhibited (e.g., opposition, defiance) and the feelings experienced (e.g., frustration, rage) when an individual's personal freedom has been threatened or eliminated.

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.

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.

In MI, a double-sided reflection:

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

All EXCEPT which of the following is a type of client-helper relationship described by Berg and Miller (1992) ?

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