CASAC Motivational Interviewing and Counseling Skills 2

Question 1

Which of the following is an example of an 'affirmation' in Motivational Interviewing?

Accepted Answer

'It sounds like you have made some difficult decisions to protect your health.'

Answer

'You need to stop drinking before you lose your family.'

Answer

'Have you considered how your use affects your work?'

Answer

'Let me tell you about the stages of recovery.'

Question 2

According to the Transtheoretical Model, a client who has been abstinent for six months and is working to prevent relapse is in which stage?

Accepted Answer

Maintenance

Answer

Action

Answer

Preparation

Answer

Termination

Question 3

A counselor uses 'double-sided reflection' when a client expresses ambivalence. This technique involves:

Accepted Answer

Reflecting both sides of the client's ambivalence in a single statement

Answer

Reflecting only the client's desire to change

Answer

Repeating the client's exact words back to them

Answer

Asking the client to weigh the pros and cons in writing

Question 4

Which of the following best represents a 'closed question' in counseling?

Accepted Answer

'Are you currently using any substances?'

Answer

'What does a typical day of drinking look like for you?'

Answer

'How has your substance use affected your relationships?'

Answer

'What would be most helpful to discuss today?'

Question 5

The 'ruler technique' used in MI asks clients to rate their readiness to change on a scale from 0 to 10. This is primarily used to:

Accepted Answer

Assess motivation and elicit change talk by exploring the client's rating

Answer

Diagnose the severity of substance use disorder

Answer

Determine the appropriate level of care needed

Answer

Measure the effectiveness of a previous treatment episode

Question 6

In MI, 'sustain talk' refers to:

Accepted Answer

Client statements that favor maintaining the status quo or not changing

Answer

The counselor encouraging the client to continue in treatment

Answer

Summarizing the client's progress at the end of a session

Answer

Discussing long-term recovery goals with the client

Question 7

Which of the following is a key principle underlying person-centered counseling as developed by Carl Rogers?

Accepted Answer

Unconditional positive regard, empathy, and genuineness are necessary for therapeutic change

Answer

The counselor is the expert who directs the course of therapy

Answer

The client's behavior must be confronted to promote insight

Answer

Cognitive restructuring is the primary mechanism of change