Question 1

Advanced reflecting is also known as all of the following EXCEPT
A) advanced empathy.
B) additive reflecting.
C) additive empathy.
D) going beyond.

Accepted Answer

Additive reflecting and additive empathy are the same, so additive reflecting is not an alternative name for advanced reflecting.

Question 2

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

Accepted Answer

In the contemplation stage, clients are considering change but are not yet ready to commit to action. Delineating clear goals and the timing of beginning steps is more appropriate for the preparation or action stages, where clients are ready to start making changes. In the contemplation stage, it's more important to discuss perceptions of change, support feelings of ambivalence, and clarify the problems or challenges.

Question 3

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?
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

Accepted Answer

A

Question 4

Identifying discrepancies involves pointing out an incongruity between the client's _____________ and ______________.
A) present behavior; actions
B) thoughts; words
C) present behavior; something s/he values
D) values; the practitioner's values

Accepted Answer

Identifying discrepancies involves highlighting the inconsistency between a client's current behavior and their values or beliefs, which is crucial in motivational interviewing to encourage change.

Question 5

Guidelines to be followed during a crisis include all of the following EXCEPT:
A) staying calm in order to acknowledge the crisis and offer hope.
B) creating safety for everyone involved.
C) exploring the object-relations causes of the client's distress.
D) using your skills to listen, ask questions, and express empathy.

Accepted Answer

Exploring the object-relations causes of the client's distress is more related to in-depth psychotherapy and not typically a guideline for immediate crisis intervention, which focuses on safety, stabilization, and support.

Question 6

Which of the following is an appropriate statement to make if a practitioner wants to roll with resistance?
A) "I can see you're having trouble deciding between spending time studying and hanging out with your friends. Your parents have a point though about studying hard so you can get into a good college."
B) "I can see you're having trouble deciding between spending time studying and hanging out with your friends. Is there any part in your parents' position about studying that makes sense to you?"
C) "I can see you're having trouble deciding between spending time studying and hanging out with your friends. Maybe you should study first and then hang out with your friends."
D) "I can see you're having trouble deciding between spending time studying and hanging out with your friends. However, your friends really are a bad influence on you."

Accepted Answer

Rolling with resistance involves acknowledging the client's perspective and inviting them to explore their ambivalence without pushing them toward a specific resolution. Choice B does this by recognizing the client's dilemma and gently encouraging them to consider their parents' viewpoint, without asserting pressure or judgment.

Question 7

One client-centered method that helps clients explore and resolve ambivalence about making changes is known as _________.
A) psychoeducation
B) motivational interviewing
C) interpersonal therapy
D) resistance rolling

Accepted Answer

Motivational interviewing is a client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.

Question 8

What is the difference between a pattern and a theme?
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.

Accepted Answer

A pattern is indeed about consistent behaviors or occurrences, while a theme is more about overarching ideas or viewpoints that can be shared among people.

Question 9

The process of coming to an agreement about problems and goals involves
A) fixing the client's presenting problem.
B) doing a thoughtful and complete assessment.
C) having the practitioner determine a list of the most salient goals with little input from the client.
D) having the client determine a list of the most salient goals with no input from the practitioner.

Accepted Answer

Doing a thoughtful and complete assessment is crucial in the process of coming to an agreement about problems and goals because it ensures that both the practitioner and the client have a comprehensive understanding of the issues at hand, which facilitates effective goal setting and problem-solving.

Question 10

Which of the following is NOT one of the skills involved in motivational interviewing?
A) Identifying discrepancies
B) Expressing empathy
C) Supporting self-efficacy
D) Motivating change

Accepted Answer

Motivational interviewing focuses on identifying discrepancies, expressing empathy, and supporting self-efficacy to facilitate intrinsic motivation for change, rather than directly motivating change itself.

Question 11

What are clients in the preparation stage preparing to do?
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.

Accepted Answer

In the preparation stage of change, clients are setting goals and thinking about the steps necessary to achieve those goals, indicating they are ready to take action soon.

Question 12

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

Accepted Answer

In the pre-contemplation stage of change, individuals are not yet considering change and may be resistant to the idea. Rolling with resistance, a technique from Motivational Interviewing, involves accepting and understanding the client's point of view without judgment or confrontation. This approach helps build rapport and trust, making it more likely for the client to eventually consider change. The other options are more confrontational or directive, which could increase resistance in someone not yet contemplating change.

Question 13

Rene is upset that her teenage child is failing school. She tells the practitioner that the school is not doing enough to ensure that her child attends school on a regular basis. How might the practitioner move Rene from pre-contemplation to contemplation?
A) Show empathy by telling Rene that she is absolutely correct and that the school has failed her and her child.
B) Tell Rene that not only has the school failed her, more specifically, the teacher has also failed her.
C) Help Rene see her part of the problem and how she has never set expectations with her child to attend school regularly.
D) Help Rene identify goals for therapy that she could work on.

Accepted Answer

Rene is in the pre-contemplation stage of change, which means she is not yet ready to make a change. The practitioner needs to help Rene see her part of the problem and how she has never set expectations with her child to attend school regularly. This will help Rene move to the contemplation stage, where she is more likely to consider making a change.

Question 14

During times of crisis, which of the following is one thing that practitioners should NOT do?
A) Deal with the immediate needs of those involved.
B) Determine the most effective immediate response.
C) Work on deep-seated and subconscious personality issues.
D) Be directive.

Accepted Answer

During times of crisis, the focus should be on addressing the immediate needs and determining the most effective response to stabilize the situation. Working on deep-seated and subconscious personality issues is not appropriate in a crisis context, as it requires time and stability that a crisis situation does not afford.

Question 15

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

Accepted Answer

In the contemplation stage, the focus is on supporting the client's ambivalence, helping them gain clarity on their desires, and becoming aware of patterns related to their problem. Encouraging belief in their ability to succeed with specific tasks is more aligned with later stages of change, such as preparation or action, where the emphasis shifts towards planning and executing change.

Question 16

When do many clients seek professional help?
A) As soon as they notice a problem.
B) When the problems have persisted with little detrimental effect on their life.
C) When they have time to work on problems.
D) When the problems in their life have persisted for some time and seem overwhelming.

Accepted Answer

Clients often seek professional help when problems in their life have persisted for some time and seem overwhelming, indicating that self-help measures are insufficient and expert intervention is necessary.

Question 17

A ___________ exists anytime the immediate problems are so serious that the individuals involved are in shock and/or are unable to cope with the situation.
A) crisis situation
B) severe mental disorder
C) therapy session
D) goal

Accepted Answer

A crisis situation is defined by the immediate problems being so serious that individuals are in shock and/or unable to cope, fitting the description provided.

Question 18

When working with clients in the pre-contemplation stage, the goal is to move the focus from:
A) something the client cannot change to something the client can change.
B) something the client can change to something the client cannot change.
C) an internal locus of control to an external locus of control.
D) blaming others to blaming themselves.

Accepted Answer

In the pre-contemplation stage, individuals may not yet recognize that they have a problem or that change is necessary. The goal is to help them see the aspects of their situation that they have the power to change, shifting focus from external factors they cannot control to internal factors they can control. This encourages a sense of personal agency and responsibility for change.

Question 19

The purposes of advanced reflecting are:
A) to help clients recognize what they really value and to invite them to have insight, self-awareness, and/or deeper understanding of their situation.
B) to help clients create goals and to share intuitive hunches with clients.
C) to express empathy towards clients and to help clients feel accepted by the practitioner.
D) to point out discrepancies between the client's behaviors and values and to plan to maintain changed behaviors.

Accepted Answer

Advanced reflecting helps clients gain insight, self-awareness, and a deeper understanding of their situation, aligning with the purpose described in choice A.

Question 20

Before a major change is possible, clients generally need to be in which stage?
A) Pre-contemplation
B) Contemplation
C) Preparation
D) Action

Accepted Answer

Clients need to be in the Preparation stage before a major change is possible. In this stage, they are getting ready to make a change and may start taking small steps towards it.

Quiz 12: Identifying Key Problems or Challenges

Advanced reflecting is also known as all of the following EXCEPT

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

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?

Identifying discrepancies involves pointing out an incongruity between the client's _ and __.

Guidelines to be followed during a crisis include all of the following EXCEPT:

Which of the following is an appropriate statement to make if a practitioner wants to roll with resistance?

One client-centered method that helps clients explore and resolve ambivalence about making changes is known as _________.

What is the difference between a pattern and a theme?

The process of coming to an agreement about problems and goals involves

Which of the following is NOT one of the skills involved in motivational interviewing?

What are clients in the preparation stage preparing to do?

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

Rene is upset that her teenage child is failing school. She tells the practitioner that the school is not doing enough to ensure that her child attends school on a regular basis. How might the practitioner move Rene from pre-contemplation to contemplation?

During times of crisis, which of the following is one thing that practitioners should NOT do?

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

When do many clients seek professional help?

A ___________ exists anytime the immediate problems are so serious that the individuals involved are in shock and/or are unable to cope with the situation.

When working with clients in the pre-contemplation stage, the goal is to move the focus from:

The purposes of advanced reflecting are:

Before a major change is possible, clients generally need to be in which stage?