Instructions: Print this exam worksheet. Return to the course page using the link below. Read the course material. Enter your answers on this worksheet. Return to the course page and click the link 'Take Test.' Transfer your answers.
https://www.quantumunitsed.com/go/2020
1. The authors acknowledge that MI seems to fit for the Native American provider because:
A. elements of MI are inherent in Native American values
B. terms such as ‘relative’ are encouraged over ‘abuser’
C. MI proposes joining with versus conveying expert status ove
D. all are mentioned
2. Which are stated about uses of MI:
A. possible brief therapy (1-4 sessions) that may be effective on its own
B. used to prepare clients for ‘treatment as usual’
C. used to improve effectiveness of other treatments
D. may be blended with CBT
E. all are stated
3. In a study of substance abuse treatment outcomes in 9 states with 25 Native Americans, it was shown that the 12 Step approach gave better outcomes compared with MI/feedback:
A. true
B. false
4. Which statement below does not characterize ideas behind MI:
A. honoring the wisdom within the client
B. viewing the client as a person versus a problem
C. using persuasion as an effective agent of change
D. viewing the therapeutic relationship as more of a partnership
E. all characterize MI ideas
5. The prayer is presented as a mandatory element of MI treatment:
A. true
B. false
6. A sweat lodge experience is one example of a ceremony to explain MI that is cited by the authors:
A. true
B. false
7. Which is not one of the 4 principles of MI:
A. express empathy
B. bring up reasons for change as the counselor
C. roll with resistance
D. support the client’s belief that he/she can successfully make a change
E. all are mentioned
8. Which of the following methods does not typify the MI way:
A. counselor provides an atmosphere open to change but does not force or require change
B. counselor fills in important information, insight and/or skills that the client lacks
C. counselor encourages client to describe and share thoughts, goals, viewpoints and values to increase their natural motivation to change
D. counselor supports and encourages clients right to choose and follow their own path
9. Which counselor statement below from the case example of ‘Carrie V.’ reflects the MI way:
A. “You’re having problems with your sister, but it also looks like you are having problems with too much partying, fighting and giving alcohol to kids.”
B. “Yeah, I know. I talked to your sister just a little bit ago.”
C. “Well, lots of people in the community have been complaining about all of the parties you’ve been having, not just this one.”
D. “Well, while we’re here, I’d like to hear more from you about the drinking that took place at your trailer. Is that okay with you?”
10. Identify the complex reflection for the client statement, “It almost feels like my husband is judging me”:
A. your husband is judging you
B. your husband is critical of you
C. you’re afraid he doesn’t like what he’s seeing in you
D. none is an example of a complex reflection
11. Which of the following is not part of the OARS acronym - 4 key MI skills:
A. (O) = ask OPEN-ENDED questions
B. (A) = ALLOW change to come from the client
C. (R) = listen REFLECTIVELY
D. (S) = SUMMARIZE
12. The authors suggest that ‘resistance’ may be hard to identify with some Native community members because some tribes consider it rude to directly disagree or deny a request:
A. true
B. false
13. Which Reflective Response is mis-matched with an appropriate MI spirit:
A. Simple Reflection: Client says, “This whole thing has been so confusing.” Counselor replies, “It’s been hard to make sense of your situation.”
B. Complex Reflection: Client says, “You’re not from around here. What do you know?” Counselor replies, “You’re worried I might not understand you.”
C. Double-sided reflection: Client says, “I am tired of dealing with the drug courts but I really enjoy drinking with my friends.” Counselor replies, “Both things are true - you like drinking with your friends and you’d rather not have to go to drug court anymore.”
D. Reframing: Client says, “I can drink more than my friends and still not look too drunk.” Counselor replies, “You need to stop drinking; this is a classic symptom of alcoholism.”
14. Which “Trap” below is not properly matched with the statement about when the trap happens:
A. Question-Answer Trap: happens when counselors have to ask a series of open-ended questions
B. Confrontation-Denial Trap: happens when counselors feel it’s really important for the client to admit to a drinking problem
C. Expert Trap: happens when counselors feel their client isn’t acknowledging that as a counselor, they know more than the client
D. Labeling Trap: happens when counselors feel like they have to put a label on the behavior they are seeing
15. In the acronym DARN-C, the “A” stands for Advising on change:
A. true
B. false
16. Which Prochaska & DiClemente stage of change is mismatched with the counselor strategy:
A. pre-contemplation and reflections
B. contemplation and double-sided reflections
C. preparation and setting goals for the client
D. action and helping the client develop a change plan
17. Which are recommended strategies for eliciting change talk:
A. ask client permission to discuss a topic
B. ask client what they like about drinking
C. ask client what they don’t like about drinking
D. listen, reflect, elaborate, get the full picture
E. all are recommended strategies
18. In using rulers to draw out change talk, be careful not to ask, “What makes you choose (number chosen) rather than a higher number?” as it encourages clients to give reasons why it is not important to change.
A. true
B. false
19. In using the Ask-Provide-Ask formula, when is it appropriate to forego asking permission of the client to provide them with information:
A. it is never appropriate to forego asking permission of the client
B. it you need to give information for ethical reasons (e.g. if suicide or homicide seems imminent)
C. a counselor should never feel they need to ask a client’s permission to provide information
20. Which of the following is NOT mentioned as a specific Native American value:
A. spirituality
B. acquisition
C. community
D. cultural identity
21. Stating to a client that “You are a deeply spiritual person in all aspects of your life” would be considered a heavyweight affirmation:
A. true
B. false
22. Which signs below warrant trying Phase 2 strategies with your client:
A. decreased resistance
B. decreased discussion about the problem
C. resolve
D. questions about change
E. all of the above
23. Trying to move forward or create an action plan for change before the client is ready to make a change generally results in increased difficulty for the client to make changes:
A. true
B. false
24. Which prompt which is not included on the Action Plan Worksheet:
A. The changes I want to make are....
B. The steps I plan to take are....
C. The ways others can help me are....
D. My backup plans are....
E. all are included
25. Under MI Strategies Overview, asking “How bad would things need to be to make changing more important to you?” is a sample question under the strategy of Negotiating the Agenda:
A. true
B. false
26. Which phase below is mismatched with the suggested tool:
A. Orientation: explain limits of confidentiality
B. Possible topics for a first session: find out what hasn’t been good about drinking
C. When clients are torn between continuing and changing: ask, “If we switched roles, what advice would you give me?”
D. When you want to encourage more change talk: the readiness ruler
E. all are properly matched
27. Which is not a listed measure of success for clinicians:
A. your most common response should be a reflection
B. ask mostly open questions when you ask question
C. talk more than your client does
D. avoid getting ahead of your client’s readiness level
28. Which is not included in the sample “introduction of yourself” to Joe L.:
A. acknowledgement of the courage it took him to come
B. reminder of confidentiality limits
C. statement of your intended goals for him
D. question about what brought him there
29. How does a statement like “Your PO said that you were in denial” rank according to the Tip Sheet on ways of responding to Joe:
A. hot
B. warm
C. cold
30. How does a statement like “Tell me more about getting carried away” rank according to the Tip Sheet on ways of responding to Joe:
A. hot
B. warm
C. cold
Copyright © 2026 Quantum Units Education
Visit us at QuantumUnitsEd.com!