CASAC Motivational Interviewing and Counseling Skills 5

Question 1

A client resists every suggestion the counselor makes. According to MI, this is best understood as:

Accepted Answer

A natural response to perceived pressure, signaling a need to back off and use more reflective listening

Answer

In MI, resistance signals that the counselor may be pushing too hard; the appropriate response is to roll with resistance and increase reflective listening.

Question 2

Which technique involves the counselor intentionally exaggerating the client's position to prompt the client to argue against it?

Accepted Answer

Amplified reflection

Answer

An amplified reflection overstates the client's statement, which often causes the client to pull back and express counter-arguments that contain change talk.

Question 3

A CASAC counselor is seeing a client mandated to treatment who says, 'I'm only here because the judge made me. I don't have a problem.' The MOST appropriate initial MI response is:

Accepted Answer

Reflect that being here wasn't their choice and explore their perspective on the situation

Answer

Acknowledging the client's autonomy and exploring their experience without confrontation reduces reactance and builds rapport.

Question 4

Which of the following best describes the MI concept of 'rolling with resistance'?

Accepted Answer

Using the client's momentum to explore their perspective without arguing

Answer

Rolling with resistance means moving with the client's energy rather than opposing it, often through reflection, to avoid power struggles.

Question 5

During a group counseling session using MI principles, one member says, 'Drinking is the only way I can have fun socially.' The counselor reflects: 'So far, alcohol has felt necessary for you to enjoy social situations.' This is an example of:

Accepted Answer

A simple reflection

Answer

This is a simple reflection that mirrors the client's statement back to them, demonstrating understanding and inviting further elaboration.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Motivational Interviewing and Counseling Skills 5