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

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

Answer 1

C

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

Answer 2

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.

Answer 3

A

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

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

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.

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

Question 8

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

Question 9

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

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

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.

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.

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

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

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

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

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."

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

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

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.

Question 21

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

Question 22

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

Question 23

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.

Question 24

Client: "It's so hard feeling this way. I cry all the time and feel so bad." Please construct two exception questions in response to the client.

Question 25

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

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

Question 26

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

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.

Question 27

What is a complainant-type relationship?

Question 28

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

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 29

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.

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

Question 30

What does it mean that motivational interviewing focuses on the client's speech? What "talk" should helpers look for and why?