CRC CRC Motivational Interviewing & Counseling Techniques 1 — Questions and Answers
Question 1: What is the primary spirit of Motivational Interviewing?
- Confronting denial directly
- Collaboration, evocation, and autonomy (Correct answer)
- Providing expert advice
- Setting strict behavioral limits
Correct answer: Collaboration, evocation, and autonomy
MI is grounded in a collaborative spirit that evokes the client's own motivation while respecting their autonomy.
Question 2: Which OARS skill involves making statements that recognize a client's strengths and efforts?
- Open-ended questions
- Affirmations (Correct answer)
- Reflective listening
- Summarizing
Correct answer: Affirmations
Affirmations in MI are statements that acknowledge a client's strengths, efforts, and positive behaviors.
Question 3: In Motivational Interviewing, 'change talk' refers to:
- Therapist arguments for change
- Client statements that favor movement toward change (Correct answer)
- Psychoeducation about addiction
- Confrontational dialogue between coach and client
Correct answer: Client statements that favor movement toward change
Change talk consists of client statements reflecting desire, ability, reasons, or need to change.
Question 4: The 'righting reflex' in MI refers to the counselor's tendency to:
- Correct factual errors in the session
- Tell clients what they should do to fix their problem (Correct answer)
- Reflect client statements accurately
- Summarize session progress at the end
Correct answer: Tell clients what they should do to fix their problem
The righting reflex is the natural urge to fix problems by directing clients, which MI trains counselors to resist.
Question 5: Rolling with resistance in MI means the coach should:
- Agree with the client's denial of their problem
- Avoid direct confrontation and instead explore ambivalence (Correct answer)
- Ignore problematic behaviors entirely
- Document resistant behaviors in the chart
Correct answer: Avoid direct confrontation and instead explore ambivalence
Rolling with resistance means not opposing it but using it as a signal to adjust approach and explore ambivalence.
Question 6: Which MI technique acknowledges both the client's reasons to change and their reasons to stay the same?
- Double-sided reflection (Correct answer)
- Direct confrontation
- Expert advice giving
- Closed questioning
Correct answer: Double-sided reflection
A double-sided reflection mirrors both sides of the client's ambivalence — desire to change and resistance to it.
CRC CRC Motivational Interviewing & Counseling Techniques 1
What is the primary spirit of Motivational Interviewing?