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

Motivational interviewing is defined as a collaborative, person-centered form of guiding communication that elicits and strengthens a person's own motivation and commitment to change. It explicitly avoids the 'righting reflex' (telling patients what to do) and instead explores ambivalence to help patients discover their own reasons for change.

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

The patient is in the Preparation stage — they have moved beyond contemplation (just thinking about it) and are intending to take action soon but have not yet begun. Preparation is characterized by intent to act in the near future and often small preparatory steps. The Contemplation stage involves thinking about change but without clear intent to act soon.

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

Open-ended questions cannot be answered with a simple yes or no and invite patients to share their perspective in their own words. 'What concerns do you have about starting insulin?' is open-ended and invites the patient to express ambivalence and explore their own values. The other options are closed-ended questions that can be answered with a single word.

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

The ADCES 7 Self-Care Behaviors are: Healthy Eating, Being Active, Monitoring, Taking Medication, Problem Solving, Reducing Risks, and Healthy Coping. 'Medication reconciliation' is a clinical safety process, not one of the seven self-care behaviors. 'Taking Medication' is the behavior in this framework, which encompasses adherence and proper administration.

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

Asking 'Why not a lower number?' after a readiness ruler elicits change talk — it invites patients to articulate the reasons they already have for wanting to change. This is a core MI technique because hearing themselves voice reasons for change strengthens intrinsic motivation. Asking 'Why not a higher number?' would elicit sustain talk.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Behavior Change Counseling & Motivational Interviewing