Deck 24: Motivation

Question 1

Stanley has recently been discharged from the hospital after a manic episode of bipolar disorder. He is excited to return to college next semester but fears that his persisting but lower level mania may challenge his success. From a BAS/BIS perspective, which approach would be most useful?

A) Help Stanley to develop strategies for slowing down and reducing impulsiveness during study and test taking.
B) Provide positive feedback to increase his sense of self-efficacy.
C) Make sure Stanley has choices regarding what courses he will take next semester.
D) Address Stanley's stability in housing before he pursues college.

Answer 1

A

Question 2

Which of the following best reflects dysfunctional motivation in individuals with schizophrenia?

A) Impairment in reward processing associated with a dysfunctional dopamine system
B) Decreased sensitivity to reinforcements
C) Extreme sensitivity to the behavioral activation system (BAS)
D) High reward sensitivity and low punishment sensitivity

Answer 2

A

Question 3

Which of the following best describes motivational interviewing?

A) A collaborative conversation used to strengthen a person's motivation and commitment to change
B) A collaborative conversation to support competence, autonomy, and relatedness
C) A collaborative conversation to evaluate the volitional system
D) A collaborative conversation to identify the current stage of change

Answer 3

A

Question 4

This theory of motivation uses interventions such as identifying role models, providing genuine feedback on the client's performance, and assisting with reinterpretation of negative emotional states.

A) Maslow's hierarchy of needs
B) Approach and avoidance model
C) Self-efficacy
D) Self-determination

Question 5

You are working with Judith on her weight loss goal. Although she wants to eat healthier, Judith is having difficulty making changes associated with frequent junk food snacking. Which of the following strategies would be most consistent with a motivational interviewing approach?

A) Taking Judith to the grocery store and pointing out healthier snack choices
B) Describing the negative health outcomes associated with the junk food Judith likes most
C) Suggesting that Judith remove all junk food from her house
D) Asking Judith what is one thing she can do to improve her snacking next week

Question 6

After a period of difficulty, partially attributed to her depression, Patricia is experiencing much success at work. Her occupational therapist recognizes that Patricia is ready to move to the next level of the remotivation process and is helping her to prepare for a meeting with her boss in which she intends to ask for a promotion. This suggests that the therapist is working with Patricia on which stage of the remotivation process?

A) Exploration
B) Competency
C) Achievement

Question 7

Currently you are working with an adult who is non-verbal. He has demonstrated difficulties with motivation and you want to get a better idea on his motivation and how the environment affects his level of motivation. Following your assessment, you decide you want to employ an intervention that incorporates a motivation continuum ranging from exploration to achievement. In particular, you want to expose him to both familiar and new activities of interest. Which intervention does this best represent?

A) Behavioral activation system (BAS)/behavioral inhibition system (BIS)
B) Remotivation process
C) Screening brief intervention and referral to treatment
D) Harm reduction approach

Question 8

You are working with a client in an outpatient clinic for treatment following a stroke. You suspect this individual may be misusing alcohol. You ask her if she drinks alcohol. She says she does, so you implement the Alcohol Use Disorders Identification Test. The results indicate alcohol disorder. You use a scripted intervention to raise the subject of alcohol abuse, provide feedback, enhance motivation for treatment, and negotiate and advise follow-up. Then you refer for treatment. Which intervention does this best represent?

A) BAS/BIS
B) Remotivation process
C) Screening brief intervention and referral to treatment
D) Harm reduction approach

Question 9

Which assessment would be best for determining if a child is able to persist with a challenging task?

A) BIS/BAS scales
B) Dimensions of mastery questionnaire
C) Goal attainment scaling
D) Pediatric volitional scale

Question 10

Which theory of motivation recognizes autonomy as an important source of motivation?

A) Maslow's hierarchy
B) Self-efficacy theory
C) Self-determination theory
D) Transtheoretical model of change

Question 11

You are using motivational interviewing with your new client. As your client is telling you his story, you are using comments such as "This is what I am hearing . . ." or "What I understand you to say . . ." as a way to get a better understanding of your client's perception of his situation. Which core skill of motivational interviewing does this best represent?

A) Use of open-ended questions
B) Reflective listening
C) Affirmation
D) Eliciting change talk