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Motivational Interviewing in Social Work Practice

Why Social Work and Motivational Interviewing?

1. All of the following are facets that form the motivational interviewing “spirt,” except for:

A. Collaboration

B. Ambivalence

C. Evocation

D. Autonomy support


2. When working with clients on changing certain behaviors, they are viewed as:

A. Wrestling with ambivalence

B. Being in denial

C. Both (A) and (B)

D. None of the above


3. When should motivational interviewing not be used?

A. When a professional has a personal or professional vested interest in an outcome.

B. When a client is suicidal.

C. Both (A) and (B).

D. None of the above.


4. How can motivational interviewing be culturally helpful?

A. It allows the client to teach the professional about their culture.

B. It gives a voice to the client to be the spokesperson for their culture.

C. It helps with learning about a specific culture.

D. All of the above.


5. Which of the following is a limitation of motivational interviewing?

A. Using motivational interviewing takes the attention off of the many systems that the client connects with on a daily basis.

B. Learning motivational interviewing skills is not easy and requires continuous supervision and coaching.

C. Both (A) and (B).

D. None of the above.


The Heart of Motivational Interviewing

6. All of the following are principles of motivational interviewing, except for:

A. Agree with the client

B. Develop discrepancy

C. Roll with resistance

D. Support self-efficacy


7. The intention of motivational interviewing is to have the client express the grounds or need for change.

A. True

B. False


8. Usually, affirmations begin with:

A. We

B. You

C. I

D. Any of the above


9. Which of the following are important because they help clients hear their own indecisiveness?

A. Simple reflections

B. Double-sided reflections

C. Open-ended questions

D. Summaries


10. Which of the following is characteristic of motivation to change?

A. The importance of the change.

B. The confidence to make the change.

C. Both (A) and (B).

D. None of the above.


Motivational Interviewing and the Engagement and Assessment Process

11. Which of the following needs of clients are determined by the professionals working with them?

A. Normative

B. Felt

C. Expressed

D. All of the above


12. When giving information, professionals should be cautious of:

A. Eliciting what the client already knows.

B. Providing feedback to the client.

C. The righting reflex.

D. All of the above.


13. Which of the following adjustments should be used when working with clients with serious mental illness / psychotic disorders?

A. Using simple open questions and reflections.

B. Giving numerous affirmations and summaries.

C. Refraining from reflections that incorporate disturbing or despairing expressions.

D. All of the above.


14. When using double-sided reflections, professionals should begin with what they want the client to remember most and use the word “and” to connect each side of the reflection.

A. True

B. False


Supporting Self-Efficacy, or What If They Don’t Think They Can Do It?

15. The most important origin of self-efficacy is through the easing of stress or negative mood state concerning the behavior or change.

A. True

B. False


16. How can a professional support clients with self-efficacy?

A. Using affirmations in their practice.

B. Acknowledging and supporting autonomy to make choices.

C. Both (A) and (B).

D. None of the above.


17. Beginning a meeting with the client with positive qualities they possess can increase their readiness to be open or susceptible, as they feel that the professional isn’t defining them by their troubles.

A. True

B. False


18. Which of the following is an example of “ability change talk”?

A. Able

B. I have

C. I did before

D. All of the above


19. When using a change ruler, the client is asked, “On a scale of 0 - 10, how confident are you that you can make this change?”  “Why is it a ___ and not a [higher number]?”

A. True

B. False


20. Survivors may need to be coerced or pushed to change things, as they may never feel that they are ready to change.

A. True

B. False


Expressing Empathy

21. Empathy calls for:

A. Identifying with the world or problem as the client does.

B. Understanding the world or problem as the client sees it.

C. Taking on the client’s problems as one’s own.

D. All of the above.


22. Which of the following is the principal skill that is the cornerstone of expressing empathy?

A. Body language

B. Appropriate eye contact

C. Open posture

D. Reflective listening


23. Reflections are always statements and never questions.

A. True

B. False


Developing Discrepancy

24. Change talk is:

A. Preparatory language

B. Commitment language

C. Both (A) and/or (B)

D. None of the above


25. Whatever the professional reflects, they will hear more of from the client.

A. True

B. False


26. Which of the following strategies help clients to imagine how life would be transformed or improved?

A. Looking forward or asking what the future would be like if the clients made the changes being talked about.

B. Looking backwards or asking the client to describe a time when the behavior was not a problem or issue.

C. Asking what may be the greatest thing about making a change.

D. All of the above.


Rolling with Resistance

27. Resistance or denial is:

A. A characteristic within the client.

B. A response to the dealings between the client and the professional.

C. Both (A) and (B).

D. None of the above.


28. Which of the following is a form of the righting reflex?

A. The expert trap

B. The question-answer trap

C. The shaming trap

D. The premature focus trap


29. Which of the following is a tactic used to side with the client’s perspective especially when there is a lot of sustain talk of why they can’t change?

A. Shifting focus

B. Coming alongside

C. Agreement with a twist

D. Reframing


30. Professionals using motivational interviewing should not digress from the intended behavior unless the client:

A. Starts to talk about suicidal ideation.

B. Is the recipient of physical abuse.

C. Either (A) and/or (B).

D. When using motivational interviewing, the professional should not digress from the intended behavior.


Integrating Motivational Interviewing into Social Work Practice

31. Motivational interviewing training prioritize all of the following areas, except for:

A. Helping clients consolidate a commitment to change.

B. Working in the spirit of motivational interviewing and collaborating with clients.

C. Being able to identify and respond to the client’s change talk.

D. Rolling with resistance that may manifest from clients.


32. Studies have found that _____ characteristics influences learning motivational interviewing by community-based practitioners.

A. Ethnic

B. Educational

C. Personality

D. None of the above


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