Alcohol and Drug Counselor Motivational Interviewing and Behavior Change Flashcards

In the Stages of Change model, 'Maintenance' refers to the stage in which a person:

Answer: Has sustained behavior change for more than six months and works to prevent relapse

Maintenance is defined as sustaining the new behavior for longer than six months while actively working to prevent relapse.

An 'amplified reflection' in Motivational Interviewing involves:

Answer: Reflecting the client's statement in a slightly exaggerated way to invite reconsideration

An amplified reflection overstates the client's position slightly, often prompting them to soften their resistance and consider the other side.

The primary goal of exploring ambivalence in Motivational Interviewing is to:

Answer: Help the client resolve mixed feelings and move toward change

Exploring ambivalence helps clients articulate both sides of their dilemma, which is central to increasing intrinsic motivation in MI.

The FRAMES model used in brief interventions includes which of the following elements?

Answer: Feedback, Responsibility, Advice, Menu of options, Empathy, Self-efficacy

FRAMES stands for Feedback, Responsibility, Advice, Menu of options, Empathy, and Self-efficacy — six components of effective brief interventions.

Reflective listening in Motivational Interviewing is best described as:

Answer: Making a statement that reflects the counselor's guess about what the client means

Reflective listening involves the counselor making statements — not questions — that reflect their understanding of the client's meaning, feelings, or intent.

Which of the following is NOT one of the original four principles of Motivational Interviewing as described by Miller and Rollnick?

Answer: Provide direct confrontation

Direct confrontation is explicitly avoided in MI; the four original principles are Express Empathy, Develop Discrepancy, Roll with Resistance, and Support Self-Efficacy.