Behavior Change & Client Communication Flashcards

Which construct of Social Cognitive Theory describes a client's expectations about the outcomes of exercise?

Answer: Outcome expectations

Outcome expectations are beliefs about the likely results of performing a behavior, such as expecting that exercise will improve energy levels.

A client is ambivalent about starting an exercise program. Which motivational interviewing response BEST helps resolve ambivalence?

Answer: Asking the client to explore both the pros and cons of changing

Exploring both sides of ambivalence through a decisional balance exercise helps clients reach their own conclusions about the value of change.

Which behavior change technique involves having a client track their daily physical activity in a log or app?

Answer: Self-monitoring

Self-monitoring through activity logs or apps increases awareness of behavior patterns and is one of the most effective techniques for supporting behavior change.

A certified exercise physiologist suspects a client may be experiencing depression that is affecting exercise adherence. The MOST appropriate next step is to:

Answer: Screen with a validated tool and refer to a mental health professional if indicated

Exercise physiologists should use validated screening tools and refer appropriately, as managing depression is outside the scope of practice of an exercise physiologist.

Which statement BEST describes the difference between intrinsic and extrinsic motivation in the context of exercise adherence?

Answer: Intrinsic motivation arises from personal enjoyment and is associated with better long-term adherence

Intrinsic motivation — driven by enjoyment, interest, or personal values — is consistently associated with greater long-term exercise adherence than extrinsic motivation.

An exercise physiologist asks, 'On a scale from 0 to 10, how important is it to you to become more active?' This is an example of which motivational interviewing tool?

Answer: Importance ruler

The importance ruler assesses how important the client perceives the change to be, helping the practitioner tailor their approach accordingly.

Which communication style is MOST likely to elicit 'sustain talk' (reasons not to change) from a client?

Answer: Confronting the client directly about their unhealthy behavior

Direct confrontation tends to trigger defensiveness and sustain talk, as clients naturally argue against perceived threats to their autonomy.