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Alcohol and Drug Counselor Motivational Interviewing and Behavior Change Flashcards

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  1. What does the acronym OARS stand for in Motivational Interviewing?

    Answer: Open questions, Affirmations, Reflections, Summaries

    OARS stands for Open questions, Affirmations, Reflections, and Summaries — the four core communication skills in Motivational Interviewing.

  2. Which stage of the Transtheoretical Model (TTM) describes a person who is not yet considering change within the next six months?

    Answer: Precontemplation

    Precontemplation is the stage in which the individual has no intention of changing behavior in the foreseeable future (within six months).

  3. In Motivational Interviewing, 'rolling with resistance' means the counselor should:

    Answer: Avoid confrontation and reflect the resistance back to the client

    Rolling with resistance means the counselor accepts and reflects the client's ambivalence rather than confronting or arguing, reducing defensiveness.

  4. Which Motivational Interviewing technique involves reflecting back a deeper meaning than what the client explicitly stated?

    Answer: Complex reflection

    A complex reflection in MI goes beyond surface content to reflect underlying feelings, meanings, or values the client implied.

  5. The 'decisional balance' exercise in Motivational Interviewing is used to help clients:

    Answer: Weigh the pros and cons of changing versus not changing

    Decisional balance helps clients explore the advantages and disadvantages of both their current behavior and making a change, increasing awareness of ambivalence.

  6. In Motivational Interviewing, 'change talk' refers to:

    Answer: Client statements that favor movement toward change

    Change talk consists of the client's own verbal expressions of desire, ability, reasons, need, or commitment to change, which are predictive of positive outcomes.