Behavior Change & Motivational Interviewing Flashcards
7 cards from real CHC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Behavior Change & Motivational Interviewing flashcards as text
A health coach uses the strategy of 'rolling with resistance' by saying, 'It sounds like making this change right now just doesn't feel right for you.' This technique is most likely to:
Answer: Reduce defensiveness and keep the conversation open
Rolling with resistance reduces defensiveness by acknowledging the client's perspective without arguing, keeping the therapeutic relationship intact.
Which of the following scenarios best illustrates 'stimulus control' as a behavior change strategy?
Answer: A client removes junk food from the home to reduce temptation
Stimulus control involves modifying the environment to remove cues that trigger unwanted behaviors.
When using the importance-confidence ruler in MI, a client rates importance at 8 and confidence at 3. The most useful follow-up question addresses:
Answer: What would help increase confidence
When confidence is low, the coach should explore what resources or steps might raise it, since that is the greater barrier.
A health coach working with a client on smoking cessation uses 'cognitive restructuring.' This technique primarily involves:
Answer: Identifying and challenging unhelpful thoughts about quitting
Cognitive restructuring involves identifying distorted or unhelpful thoughts and replacing them with more balanced, realistic ones.
In MI, asking 'What's the best thing that could happen if you made this change?' is designed to elicit which type of change talk?
Answer: Desire
Questions about best outcomes elicit desire-based change talk, as the client describes what they want from the change.
A coach affirms a client by saying, 'It took real courage to keep that appointment even when you were feeling discouraged.' Affirmations in MI are intended to:
Answer: Highlight the client's strengths and support self-efficacy
Affirmations recognize the client's strengths and efforts, reinforcing self-efficacy and sustaining motivation for change.
Which principle of behavior change suggests that smaller, incremental goals are more effective than single large goals for establishing lasting habits?
Answer: Chunking and successive approximations
Breaking a large goal into smaller steps (chunking and successive approximations) makes each step achievable and builds momentum toward the ultimate goal.