Alcohol and Drug Counselor Exam Alcohol and Drug Counselor Motivational Interviewing and Behavior Change 2 — Questions and Answers
Question 1: The Transtheoretical Model of behavior change was primarily developed by which researchers?
- Carl Rogers and Abraham Maslow
- William Miller and Stephen Rollnick
- James Prochaska and Carlo DiClemente (Correct answer)
- Aaron Beck and Albert Ellis
Correct answer: James Prochaska and Carlo DiClemente
James Prochaska and Carlo DiClemente developed the Transtheoretical Model (Stages of Change) in the late 1970s through research on smoking cessation.
Question 2: Which stage immediately follows 'Contemplation' in the Stages of Change model?
- Action
- Maintenance
- Preparation (Correct answer)
- Termination
Correct answer: Preparation
Preparation follows Contemplation; in this stage the individual intends to take action soon (within 30 days) and may be taking small preliminary steps.
Question 3: The spirit of Motivational Interviewing is best characterized by which set of elements?
- Confrontation, Directiveness, Expert advice
- Partnership, Acceptance, Compassion, Evocation (Correct answer)
- Empathy, Boundaries, Diagnosis, Treatment
- Assessment, Reflection, Education, Referral
Correct answer: Partnership, Acceptance, Compassion, Evocation
The MI spirit consists of Partnership, Acceptance, Compassion, and Evocation (PACE), which together define the collaborative and client-centered nature of the approach.
Question 4: The 'Elicit-Provide-Elicit' (EPE) technique in Motivational Interviewing is used when:
- Confronting a client about dishonesty
- Sharing information or advice with a client's permission (Correct answer)
- Conducting a formal diagnostic assessment
- Establishing treatment program rules
Correct answer: Sharing information or advice with a client's permission
EPE is used to share information or education in an MI-consistent way: first eliciting the client's existing knowledge, then providing information, then eliciting the client's response.
Question 5: Which of the following is an example of 'sustain talk' in Motivational Interviewing?
- 'I think I might have a problem with drinking.'
- 'I know I need to cut back on drugs.'
- 'I don't think my using is that big a deal.' (Correct answer)
- 'I want to get my family back.'
Correct answer: 'I don't think my using is that big a deal.'
Sustain talk consists of client statements that favor maintaining the status quo or argue against change, such as minimizing the problem.
Question 6: What does 'autonomy support' mean in the context of Motivational Interviewing?
- Allowing clients to discharge themselves from treatment at any time
- Acknowledging and reinforcing the client's right and ability to make their own choices (Correct answer)
- Providing clients with independent housing resources
- Assigning homework that clients complete on their own
Correct answer: Acknowledging and reinforcing the client's right and ability to make their own choices
Autonomy support in MI means the counselor respects and affirms the client's right to choose whether and how to change, which paradoxically increases motivation.
Alcohol and Drug Counselor Exam Alcohol and Drug Counselor Motivational Interviewing and Behavior Change 2
The Transtheoretical Model of behavior change was primarily developed by which researchers?