Deck 11: Motivational Interviewing in the Treatment of Substance Abuse and Dependence

Question 1

_________ began as an approach to reduce resistance and increase intrinsic motivation to change substance abuse behavior.

A) Motivational interviewing
B) Intrinsic interviewing
C) Transtheoretical model
D) Harm reduction techniques

Answer 1

Motivational interviewing

Question 2

Motivational interviewing is based on the work of:

A) Ainsworth
B) Freud
C) Miller
D) Prochaska

Answer 2

Miller

Question 3

A major contribution of motivational interviewing to substance abuse treatment is:

A) Understanding that extrinsic motivation is the most important factor in changing behavior
B) Recognizing the important role ambivalence plays in changing behavior
C) Describing the reward process needed to motivate change
D) Outlining how the therapist can be used as a motivator for behavior change

Answer 3

Recognizing the important role ambivalence plays in changing behavior

Question 4

__________ motivation is related to a client's sense of autonomy.

A) External
B) Internal
C) Extrinsic
D) Intrinsic

Question 5

__________ motivation is related to external control that stimulates action.

A) Extrinsic
B) Intrinsic
C) External
D) Internal

Question 6

Which of the following is not one of the three main goals of MI?

A) Increase intrinsic motivation
B) Improve interpersonal relationships
C) Lower discord
D) Resolve ambivalence

Question 7

Which of the following terms refers to feeling two ways about changing a habit or behavior?

A) Ambivalence
B) Confusion
C) Resistance
D) Intrinsic motivation

Question 8

_____________ is the component of the MI spirit that emphasizes what clients already knows, especially related to changing behavior.

A) Evocation
B) Integration
C) Partnership
D) Compassion

Question 9

Taken together,___________ is the component of the MI spirit that includes a clinician showing empathy, honoring absolute worth, affirming client strengths, and stressing client autonomy.

A) Partnership
B) Acceptance
C) Evocation
D) Compassion

Question 10

_____________ is the component of the MI spirit that emphasizes actively promoting the client's welfare.

A) Empathy
B) Care
C) Compassion
D) Acceptance

Question 11

"The spices in a good recipe" is referring to:

A) MI skills
B) Unconditional positive regard
C) Counselor-client relationship
D) MI spirit

Question 12

Persuasion, lecturing, not listening, and offering unsolicited advice are examples of:

A) Illuminating discrepancies
B) Creating an argumentative atmosphere
C) Rolling with resistance
D) Expressing empathy

Question 13

What is the most important ingredient of MI?

A) Compassion
B) Sympathy
C) Empathy
D) Extrinsic motivation

Question 14

John values his family and providing for them, but continues to smoke marijuana excessively. Highlighting this contradiction for the client is an example of:

A) Arguing with the client
B) Allowing the client to practice self-efficacy
C) Rolling with resistance
D) Illuminating discrepancies

Question 15

Supporting the client's confidence in their ability to make change is an example of which principle of MI?

A) Supporting empathy
B) Supporting self-esteem
C) Supporting self-efficacy
D) Supporting discrepancy

Question 16

How many principles of MI are there?

A) 5
B) 10
C) 3
D) 12

Question 17

The acronym RULES is used for?

A) Principles for enhancing confidence
B) Principles for building rapport
C) Principles of MI
D) Principles for giving advice

Question 18

The acronym FOCUS is used for:

A) Principles for enhancing confidence
B) Principles for building rapport
C) Principles of MI
D) Principles for giving advice

Question 19

In regards to the processes of MI, which of the following describes the engaging process?

A) Negotiating the process for change
B) Identifying important behavior changes
C) Preparing a client for behavior change
D) Understanding the client's needs and developing a working clinician-client relationship

Question 20

In regards to the processes of MI, which of the following describes the focusing process?

A) Negotiating the process for change
B) Identifying important behavior changes
C) Preparing a client for behavior change
D) Understanding the client's needs and developing a working clinician-client relationship

Question 21

In regards to the processes of MI, which of the following describes the evoking process?

A) Negotiating the process for change
B) Identifying important behavior changes
C) Preparing a client for behavior change
D) Understanding the client's needs and developing a working clinician-client relationship

Question 22

In regards to the processes of MI, which of the following describes the planning process?

A) Negotiating the process for change
B) Identifying important behavior changes
C) Preparing a client for behavior change
D) Understanding the client's needs and developing a working clinician-client relationship

Question 23

The four processes of MI provide an understanding of what the MI approach look like:

A) Theoretically
B) Conceptually
C) Clinically
D) Empirically

Question 24

From the MI perspective, individuals who are ambivalent to change are considered "resistant" and in need of correction.

Question 25

Individual behavior change that is motivated through a sense of autonomy leads to better goal attainment.

Question 26

Motivational interviewing is only used in conjunction with other counseling approaches.

Question 27

Motivational interviewing and client-centered counseling are synonymous.

Question 28

Arguing with a client is never a good idea.

Question 29

Too much resistance negatively impacts client progress toward change.

Question 30

Clients who believe it is not important to change but confident that they could if they wanted to are considered to be at the pre-contemplative stage of change.

Question 31

Assessing how important it is to the client to change is an imperative part of assessment.

Question 32

Assessing how confidence the client is in terms of changing their behavior is an imperative part of assessment.

Question 33

It is common for clients to not offer any change talk during the MI process.

Question 34

What are the three main goals of MI? Briefly describe each of them.

Question 35

Describe the ways in which motivational interviewing can be implemented with a client.

Question 36

What are the four components of the MI spirit?

Question 37

What are the five principles of MI? Provide a brief description of each.

Question 38

Describe strategies a clinician can utilize to help clients explore, process, and increase importance in regards to changing their behavior.

Question 39

Describe strategies a clinician can utilize to help clients enhance their confidence in regards to changing their behavior.

Question 40

What are the strengths of the MI approach?

Question 41

What are the weaknesses of the MI approach?