CADC Motivational Interviewing and Stages of Change

Question 1

A client says, 'I don't have a problem with drinking; everyone else is overreacting.' According to the Transtheoretical Model, which stage is the client in?

Accepted Answer

Precontemplation

Answer

In precontemplation the person does not see their use as a problem and has no intention of changing in the near future. Interventions focus on raising awareness and building rapport rather than prescribing action steps.

Question 2

In motivational interviewing, what does the acronym OARS stand for?

Accepted Answer

Open questions, Affirmations, Reflective listening, Summaries

Answer

OARS are the core MI micro-skills: Open-ended questions, Affirmations, Reflective listening, and Summaries. They help the counselor elicit the client's own reasons for change.

Question 3

A counselor feels a strong urge to argue the client out of continued drinking by listing the consequences. In MI, this urge is called:

Accepted Answer

The righting reflex

Answer

The righting reflex is the counselor's natural urge to fix the problem and persuade the client to change. It tends to provoke defensiveness and sustain talk, so MI counselors resist it and elicit the client's own motivation.

Question 4

Which client statement is an example of 'change talk'?

Accepted Answer

'I'm worried about what this is doing to my kids, and I want to cut back.'

Answer

Change talk is client language that favors change, such as expressing desire, ability, reasons, or need. The other statements are sustain talk, which favors the status quo.

Question 5

A client who is ambivalent says, 'I want to quit, but I also love getting high.' In MI, the counselor's best approach is to:

Accepted Answer

Explore and reflect both sides of the ambivalence, and help the client voice the discrepancy between values and behavior

Answer

Ambivalence is normal. MI honors both sides, then helps the client see the gap between their current behavior and their goals and values, so that motivation to change comes from within the client.

(CADC) Certification Prep and Alcohol and Drug Counselor Practice Test

(CADC) Certification Prep and Alcohol and Drug Counselor Practice Test

CADC Motivational Interviewing and Stages of Change