Motivational Interviewing
1) The concept of motivational interviewing began in the early 1980s by William R. Miller, PhD, who focused his model of MI on working with people suffering from
a) Substance abuse and addiction
b) Post Traumatic Stress Disorder
c) Marital Problems
d) Depression
2) MI recognizes several theories as a basis for its approach, including _____ theory, which acknowledges that a person who acts against his or her beliefs will be motivated to either change behaviors or otherwise justify them.
a) Equilibration
b) Cognitive dissonance
c) Rubber band
d) Moral mirror
3) In which stage of change does the client recognize that a change needs to happen?
a) Action
b) Precontemplation
c) Preparation
d) Contemplation
4) What advice is given for dealing with client resistance?
a) Push against it
b) Go around it
c) Go under it
d) Roll with it
5) Which is the heart of MI which involves helping the client to determine his or her own amount of ambivalence and the amount of motivation they have to make a change?
a) Testing the waters
b) Gut checking
c) Evoking change
d) Reflexive contemplation
6) Which involves structuring how the process of the interview will take place?
a) Planning
b) Negotiation
c) Wrestling
d) Evaluation
7) The third component of OARS is
a) Reflective listening
b) Reinforcing
c) Repairing
d) Reciprocity
8) In the DARN CAT mnemonic which can be used to elicit change, the "A" in DARN stands for
a) Antecedent
b) Affect
c) Allergic
d) Ability
9) The "C" in CAT stands for
a) Commitment
b) Courage
c) Coffee
d) Can-do attitude
10) In the FRAMES guide to solicit change, the "E" stands for
a) Effort
b) Everyone
c) Endpoint
d) Empathy
11) MI techniques with children is best used with
a) Children individually
b) Children and their peers
c) Children and their families
d) Children and teachers
12) According to Burke et al., there are four states that contribute to self-efficacy in a person. These include all the following EXCEPT
a) Mastery experience
b) Vicarious experience and modeling
c) Social persuasion
d) Mentoring others
13) According to the American College of Obstetricians and Gynecologists (ACOG), the process of active listening and MI during a visit only adds approximately _____ to the total time spent at the appointment.
a) 1 minute
b) 3 minutes
c) 5 minutes
d) 10 minutes
14) According to the ACOG, a multicenter study conducted on pregnant women who were engaged in risky drinking behaviors showed a _____ reduction of risk in having an alcohol-affected infant six months after engaging in MI to educate them about the dangers of alcohol during pregnancy.
a) 60%
b) 70%
c) 80%
d) 90%
15) The original work on MI was published by Miller in _____ and was targeted toward working with patients who had difficulties with alcohol addiction.
a) 1943
b) 1963
c) 1983
d) 2003
16) Type 1 diabetes often develops as a result of an autoimmune process in which the body attacks the cells in the _____, affecting its ability to produce insulin.
a) Gallbladder
b) Spleen
c) Pancreas
d) Liver
17) MI can work well as a form of _____ factor intervention for clients who are at risk of diabetes.
a) Feedback
b) Max
c) Lifestyle
d) Cognitive
18) One of the reasons why MI can be successful when working with patients who have type 2 diabetes is that it is a/an _____ approach.
a) Standardized
b) Evidence base practice
c) Individualized
d) Generalizable
19) Which is an enlargement of the heart muscle that often develops after the muscle tissue has been damaged?
a) Cardiomegaly
b) Cardiomyopathy
c) Pericarditis
d) Coronary artery disease
20) Obesity is classified as a BMI over
a) 25
b) 30
c) 35
d) 40
21) A study of British physicians found that people who smoke shorten their lifespans by approximately _____ years.
a) 5
b) 10
c) 15
d) 20
22) Which is NOT one of the "5 A's" of MI?
a) Ask
b) Affect
c) Advise
d) Arrange
23) A study by Hardcastle et al. compared patients who received 5 sessions of MI combined with exercise and nutrition information and a group who only received the information. The group who did not use MI had increased levels of _____ and _____ in the 12 months following the interventions.
a) BMI, Depression
b) Depression, Anxiety
c) Anxiety, Cholesterol
d) Cholesterol, BMI
24) The study referenced, reported that approximately _____ of people studied who had died by suicide has seen a primary care provider within the past month before their deaths.
a) 25%
b) 35%
c) 45%
d) 55%
25) An example of _____ aggression is when a client attacks their employer because they have been angry about unfair treatment at work and believes that through force the employer can be made to change.
a) Reactive
b) Instrumental
c) Premeditated
d) Festering
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