Question 1

_____________________ involves the therapist's efforts to accept and welcome all client comments, even hostile or provocative comments.

Accepted Answer

Radical validation involves the therapist's efforts to accept and welcome all client comments, even hostile or provocative comments.

Question 2

In the text it is emphasized that resistance is:

Accepted Answer

The text emphasizes that resistance is natural, as it is a normal human response to change or challenges in therapy. It is not necessarily the fault of the clinician and may not always be obvious. Therefore, choices B, C, D, and E are incorrect.

Question 3

Which of the following is NOT an example of a goal-oriented question?

Accepted Answer

The question "What would you like to talk about today?" is not goal-oriented because it does not focus on achieving a specific objective or outcome. The other options all involve a clear goal or outcome that is being sought.

Question 4

In the text it is emphasized that resistance can emanate from:

Accepted Answer

The text states that resistance can come from the client, the therapist, or the situation, so the best answer is D, which includes all three options.

Question 5

From the motivational interviewing approach of Miller and Rollnick (2013), a key concept in understanding why clients might be resistant to change is:

Accepted Answer

According to Miller and Rollnick (2013), ambivalence is a key concept in understanding why clients might be resistant to change. Clients may have conflicting feelings and thoughts about change, which can create a sense of indecision or reluctance. Therefore, ambivalence is a common barrier to behavior change and an important focus of motivational interviewing. Options A and B are stages of change, and option D is not relevant to the concept of resistance to change.

Question 6

One rule (or rhythm) about open questions when using motivational interviewing is:

Accepted Answer

Asking an open question and then reflecting what the person says is the recommended rule for open questions in motivational interviewing. This allows the person to freely express themselves and then for the therapist to reflect back what they have said, showing that they have been actively listening and understanding. This can help to build rapport and promote the therapeutic alliance.

Question 7

Sometimes when working with resistant clients, therapists intentionally overstate the client's position in an effort to get clients to clarify or articulate the more positive side of an issue. Motivational interviewers refer to this technique as:

Accepted Answer

The technique described is known as amplified reflection, where the therapist intentionally exaggerates the client's position to encourage clarification and identification of more positive aspects. This is a commonly used technique in motivational interviewing.

Question 8

Which therapy approach views resistance as an unhelpful linguistic creation that developed because sometimes clients don't want to do what their "bossy-pants" therapists want them to do?

Accepted Answer

Solution-focused therapists view resistance as a linguistic creation that hinders progress towards achieving goals, and they focus on finding solutions rather than analyzing resistance. This approach emphasizes the client's strengths and resources instead of the therapist's expertise.

Question 9

Which technique is characterized by the statement, "Thank you for being honest with me and telling me what you really think"?

Accepted Answer

The answer of Which technique is characterized by the statement,...

Question 10

Miller and Rollnick claim that which of the following can be "deadly for engagement?"

Accepted Answer

Chaining together a series of closed questions can be "deadly for engagement" according to Miller and Rollnick because it can make the conversation feel like an interrogation rather than a collaborative dialogue.

Question 11

"Natural resistance" refers to:

Accepted Answer

Natural resistance is the client's resistance to the uncomfortable process of therapy, but still acknowledging that the client is behaving in ways that challenge the therapist. Option A refers to a specific type of resistance that is not related to natural resistance. Option B refers to therapist resistance, not client resistance. Option D refers to resistance related to payment, which is not the same as natural resistance. Option E is incorrect as there is a valid definition for natural resistance in the context of therapy.

Question 12

Which of the following is an example of emotional validation or feeling validation?

Accepted Answer

Choice A acknowledges and validates the person's negative feelings about the situation, rather than dismissing or minimizing them.

Question 13

What term do Miller and Rollnick use to describe paradox?

Accepted Answer

Miller and Rollnick use the term "coming alongside" to describe paradox in motivational interviewing. This refers to the counselor joining the client in a shared understanding of the client's ambivalence, rather than attempting to convince or persuade the client to change.

Question 14

Which of the following statements is NOT true of client resistance?

Accepted Answer

While clients play a role in resistance, it is not solely their responsibility. Therapist behavior, the therapeutic relationship, and other external factors can also contribute to resistance.

Question 15

Autumn says to her interviewer, "I should quit smoking because smoking is expensive and unhealthy." According to the motivational interviewing model, Autumn also might be having an ambivalent thought like:

Accepted Answer

The motivational interviewing model recognizes that individuals often have mixed feelings or ambivalence about change. Autumn's statement suggests she is considering quitting but the fact that she mentions the cost and health implications suggests a potential conflict or ambivalence. Option A highlights a possible ambivalent thought Autumn might have, where she recognizes smoking's negative effects but also enjoys the pleasurable feeling it provides.

Question 16

Amplified reflection involves:

Accepted Answer

The answer of Amplified reflection involves:
...

Question 17

At the beginning of his first appointment, Bobby says to his interviewer, "I'm not talking and you can't make me." Bobby's interviewer's response, "You're absolutely right-I sure can't make you talk," is an example of which of the following?

Accepted Answer

The interviewer's response is an example of concession, where they acknowledge Bobby's stance without attempting to argue or persuade him otherwise. This approach can help in reducing resistance and building rapport.

Question 18

Undershooting involves:

Accepted Answer

Undershooting does not involve any of the actions described in options A through D. These options describe various communication strategies or techniques, but none accurately define undershooting in the context of counseling or therapy.

Question 19

Which of the following is the central MI hypothesis for resolving client ambivalence and activating motivation?

Accepted Answer

The central MI hypothesis, also known as the "Spirit of MI," is that clients will be more motivated to change if they themselves verbalize the reasons for change, rather than the therapist lecturing or confronting them. This involves the therapist eliciting and reflecting back the client's own reasons for ambivalence and change, rather than imposing their own. Therefore, choice C is the best answer.

Question 20

Traditionally, signs of client resistance included:

Accepted Answer

All of the above options (A, B, and C) are traditionally considered signs of client resistance in psychotherapy. Clients may resist engaging in the therapeutic process by either talking too much (possibly to avoid discussing certain topics) or too little (indicating reluctance to open up), or by being unprepared for sessions, which can manifest as forgetting appointments, not completing assignments, etc.

Quiz 12: Challenging Clients and Demanding Situations