NBHWC - National Board for Health & Wellness Coaching Motivational Interviewing Techniques Questions and Answers

Question 1

A health coach is working with a client who is ambivalent about increasing their physical activity.
The client says, "I know I should exercise, and I feel better when I do, but I'm just so tired after work and can't find the motivation." Which of the following coach responses best demonstrates the spirit of Motivational Interviewing?

Accepted Answer

"It sounds like you're facing a real conflict. On one hand, you know exercise is good for you and makes you feel better, but on the other hand, your fatigue at the end of the day is a major barrier."

Answer

"You could try exercising in the morning before work when you have more energy. Many people find that works better for their schedule."

Answer

"Let's set a small goal of just 10 minutes of walking after work three times this week. That's a manageable start, isn't it?"

Answer

"If you don't start exercising, you're putting yourself at a higher risk for several chronic diseases. It's really important to prioritize this."

Question 2

Which of the following is the primary goal of using the OARS (Open-ended questions, Affirmations, Reflective listening, Summarizing) technique in Motivational Interviewing?

Accepted Answer

To build rapport and elicit the client's own motivations for change.

Answer

To gather detailed data for the client's wellness plan.

Answer

To direct the client toward the most effective health solution.

Answer

To ensure the client follows through on the goals set by the coach.

Question 3

In a coaching session, a client states, "I want to eat healthier, but my family brings junk food into the house all the time." This statement is an example of:

Accepted Answer

Ambivalence

Answer

Change Talk

Answer

Sustain Talk

Answer

The Righting Reflex

Question 4

A coach notices they have a strong urge to tell their client, who struggles with time management, exactly how to organize their calendar to fit in meal prep. This urge is best described as:

Accepted Answer

The Righting Reflex

Answer

Evocation

Answer

Affirmation

Answer

Reflective Listening

Question 5

According to the four processes of Motivational Interviewing, which process is foundational and must be established before moving on to exploring a specific change goal?

Accepted Answer

Engaging

Answer

Planning

Answer

Evoking

Answer

Focusing

Question 6

Which of the following client statements is the strongest example of 'change talk'?

Accepted Answer

"I'm going to pack my gym clothes tonight so I can go to the gym before work tomorrow."

Answer

"I suppose I could try to go for a walk once or twice."

Answer

"My doctor said I need to lower my blood pressure."

Answer

"I wish I had more energy to play with my kids."