BC ADM Behavior Change Counseling & Motivational Interviewing

Question 1

Motivational interviewing (MI) is best described as which of the following?

Accepted Answer

A collaborative, person-centered counseling style that elicits and strengthens a patient's own motivation for change

Answer

A directive approach in which the clinician persuades the patient to adopt healthier behaviors

Answer

A structured behavioral therapy focused on identifying and correcting cognitive distortions

Answer

A standardized education program covering the core components of diabetes self-management

Question 2

A patient with type 2 diabetes says: 'I've been thinking about checking my blood sugar more regularly, but I just haven't gotten around to it yet.' According to the Transtheoretical Model (Stages of Change), which stage best describes this patient?

Accepted Answer

Preparation

Answer

Precontemplation

Answer

Contemplation

Answer

Action

Question 3

Which of the following is an example of an open-ended question consistent with motivational interviewing principles?

Accepted Answer

'What concerns do you have about starting insulin therapy?'

Answer

'Are you taking your medications every day?'

Answer

'Did you check your blood sugar at least once this week?'

Answer

'Have you tried walking for 30 minutes a day?'

Question 4

The ADCES 7 Self-Care Behaviors framework is a foundational model for diabetes self-management education. Which of the following is NOT one of the seven behaviors?

Accepted Answer

Medication reconciliation

Answer

Problem solving

Answer

Reducing risks

Answer

Healthy coping

Question 5

After a patient rates their readiness to improve dietary habits as a 5 out of 10, the diabetes care specialist asks: 'Why did you choose a 5 and not a 2?' This technique in motivational interviewing is designed to elicit what?

Accepted Answer

Change talk — the patient's own reasons and motivations for change

Answer

Sustain talk — reasons the patient has for maintaining the status quo

Answer

Reflective listening to mirror the patient's feelings

Answer

Developing discrepancy between the patient's values and current behavior

Question 6

A patient with type 2 diabetes repeatedly misses insulin doses and minimizes the issue when it is raised in clinic visits. Which response is most consistent with motivational interviewing principles?

Accepted Answer

Explore the patient's ambivalence about taking insulin by asking open-ended questions and reflecting their responses

Answer

Provide written materials outlining the medical consequences of missed insulin doses

Answer

Firmly advise the patient that continued non-adherence will lead to serious complications

Answer

Simplify the insulin regimen without discussing the adherence issue to reduce barriers