Behavior Change & Client Communication Flashcards

A client says, 'I know I should exercise, but I just can't seem to make it happen.' Which motivational interviewing technique is MOST appropriate to use next?

Answer: Explore the discrepancy between the client's values and current behavior

Exploring discrepancy between stated values and current behavior is a core motivational interviewing strategy that helps clients identify their own reasons to change.

Which stage of the Transtheoretical Model describes a person who is thinking about becoming physically active within the next six months?

Answer: Contemplation

Contemplation is defined as intending to change within the next six months while being aware of the pros and cons of changing.

A client consistently cancels sessions due to work stress. According to the Social Cognitive Theory, which strategy would BEST address this barrier?

Answer: Enhance self-efficacy by identifying past successes under stress

Enhancing self-efficacy by recalling past successes helps clients believe they can manage barriers like work stress.

An exercise physiologist uses reflective listening during a session. What is the PRIMARY purpose of this technique?

Answer: To demonstrate understanding and encourage deeper client self-exploration

Reflective listening communicates empathy and helps clients feel heard, which encourages them to explore their thoughts and feelings more deeply.

Which type of goal is MOST consistent with SMART goal-setting principles for a sedentary client beginning an exercise program?

Answer: 'I will walk for 20 minutes, three days per week, for the next four weeks.'

SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound, as illustrated by a defined duration, frequency, and timeframe.

A client in the Action stage of the TTM has been exercising regularly for two months. What is the GREATEST behavioral risk at this stage?

Answer: Relapse due to insufficient coping strategies for barriers

Clients in the Action stage are at high risk for relapse because they have not yet developed sustained habits and coping mechanisms for obstacles.

When applying the Health Belief Model to exercise counseling, 'perceived severity' refers to a client's belief about:

Answer: How serious the consequences of remaining sedentary will be

Perceived severity in the Health Belief Model is the individual's assessment of the seriousness of the health condition or its consequences.