TTS Behavioral Counseling & Motivational Interviewing 2 — Questions and Answers
Question 1: The 5 A's framework for tobacco cessation counseling stands for:
- Assess, Advise, Agree, Assist, Arrange
- Ask, Advise, Assess, Assist, Arrange (Correct answer)
- Ask, Acknowledge, Advise, Assist, Arrange
- Assess, Ask, Agree, Act, Arrange
Correct answer: Ask, Advise, Assess, Assist, Arrange
The 5 A's are Ask, Advise, Assess, Assist, and Arrange — a structured brief intervention approach supported by the USPHS Clinical Practice Guideline.
Question 2: A patient says, 'I know smoking is bad, but I'm not ready to quit.' This patient is MOST likely in which stage of change?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
Contemplators acknowledge the problem and may be weighing costs and benefits but have not yet committed to taking action.
Question 3: Which MI technique involves reflecting back to a client a statement that slightly amplifies the meaning to encourage deeper exploration?
- Simple reflection
- Amplified reflection (Correct answer)
- Double-sided reflection
- Affirmation
Correct answer: Amplified reflection
An amplified reflection slightly overstates what the client said, which often prompts the client to back off and explore more nuanced or balanced views.
Question 4: The decisional balance technique in tobacco cessation counseling helps clients by:
- Providing a list of smoking-related diseases
- Exploring the pros and cons of smoking and quitting (Correct answer)
- Setting a specific quit date
- Prescribing cessation medications based on history
Correct answer: Exploring the pros and cons of smoking and quitting
Decisional balance explores the benefits and costs of both smoking and quitting, helping clients resolve ambivalence and build motivation.
Question 5: According to the 5 R's approach for unmotivated smokers, what do the 5 R's stand for?
- Relevance, Risks, Rewards, Roadblocks, Repetition (Correct answer)
- Readiness, Reasons, Risks, Resolve, Repetition
- Relevance, Resolve, Rewards, Roadblocks, Repetition
- Readiness, Relevance, Risks, Rewards, Repetition
Correct answer: Relevance, Risks, Rewards, Roadblocks, Repetition
The 5 R's — Relevance, Risks, Rewards, Roadblocks, and Repetition — are used to enhance motivation in patients who are not ready to make a quit attempt.
Question 6: A 'double-sided reflection' in motivational interviewing is used to:
- Repeat what the client said verbatim
- Acknowledge both sides of the client's ambivalence (Correct answer)
- Challenge the client's negative beliefs directly
- Summarize the counseling session at its conclusion
Correct answer: Acknowledge both sides of the client's ambivalence
A double-sided reflection acknowledges the client's ambivalence by reflecting both the resistant and change-oriented aspects of their statements.
Question 7: In tobacco cessation, which counseling approach has the strongest evidence for effectiveness?
- 12-step facilitation
- Hypnotherapy
- Cognitive-behavioral therapy (CBT) (Correct answer)
- Psychoanalysis
Correct answer: Cognitive-behavioral therapy (CBT)
CBT has the strongest evidence base for tobacco cessation, helping clients identify triggers, challenge automatic thoughts, and develop concrete coping skills.
TTS Behavioral Counseling & Motivational Interviewing 2
The 5 A's framework for tobacco cessation counseling stands for: