Behavior Change & Client Communication Flashcards

A client reports feeling embarrassed exercising in public. Which behavior change strategy is MOST appropriate to address this barrier?

Answer: Use cognitive restructuring to challenge negative self-perceptions

Cognitive restructuring helps clients identify and replace distorted thoughts about self-image with more accurate, positive perspectives.

Which communication approach is BEST when a client resists a recommended change in their exercise routine?

Answer: Roll with the resistance and explore the client's perspective

Rolling with resistance is a core motivational interviewing principle that avoids confrontation and invites the client to explore their own ambivalence.

In operant conditioning, which strategy involves removing an unpleasant stimulus to increase exercise behavior?

Answer: Negative reinforcement

Negative reinforcement increases behavior by removing an aversive stimulus, such as exercising to relieve stress or back pain.

A client with low exercise self-efficacy would MOST benefit from which initial intervention?

Answer: Setting modest, achievable goals to create early success experiences

Mastery experiences — achieved through small, attainable goals — are the most powerful source of self-efficacy according to Bandura's Social Cognitive Theory.

Which element of active listening involves paraphrasing a client's statement to confirm understanding?

Answer: Reflection

Reflection involves restating or paraphrasing what the client said in slightly different words to confirm the exercise physiologist's understanding.

A client says, 'I've tried exercising before and always quit.' Which response BEST demonstrates motivational interviewing spirit?

Answer: 'What was different about the times when you did stick with it?'

Asking about past successes elicits 'change talk' and helps the client recognize their own capacity for sustained behavior change.

Which concept from the Theory of Planned Behavior MOST directly influences whether a client will follow through on their intention to exercise?

Answer: Perceived behavioral control

Perceived behavioral control — the belief in one's ability to perform the behavior — is a direct predictor of intention and behavior in the Theory of Planned Behavior.