A
Which of the following best represents an individual experiencing ambivalence?
A. Jackie is angry at her mother for making negative comments about her weight.
B. Joseph recently survived a heart attack and is motivated to make some changes to his eating habits.
C. Juanita wants to start cooking more meals at home and eating out less often but is concerned that it will take more time.
D. James doesn’t understand why he was instructed to see the dietitian and isn’t thrilled about being at his first appointment.
C. Juanita wants to start cooking more meals at home and eating out less often but is concerned that it will take more time.
Which of the following client statements sounds the most like change talk?
A. I really hate doing the dishes. And cooking for one seems so ridiculous, so I just eat out.
B. I’m so tired by the time I get home that it’s impossible to get myself out the door to do anything active.
C. Are you going to tell me that I can’t eat donuts?
D. I notice that when I drink tea instead of soda, I feel better; I don’t get that sugar crash.
D. I notice that when I drink tea instead of soda, I feel better; I don’t get that sugar crash.
Which of the following best describes the primary purpose of evoking?
A. To draw out feelings about behavior change
B. To conduct a dietary assessment
C. To find out more about the client’s personal life
D. To figure out what you might have in common with the client
A. To draw out feelings about behavior change
Which of the following questions would be best for evoking change talk?
A. How do you think you can go about making this change?
B. How often do you eat out?
C. What might get in the way as you attempt to make this change?
D. If you were to make this change, how might your life improve?
D. If you were to make this change, how might your life improve?
Which type of reflective listening response does the practitioner use?
Client: I know the salt I put on my food makes me swell up, but without it my food just tastes so bland.
Practitioner: On one hand, you want to eat food that gives your taste buds a thrill, and on the other hand, you want to eat food that makes your body feel good.
A. Amplified
B. Reframe
C. Metaphor
D. Double-sided
D. Double-sided
Which of the following phrases is part of the definition of motivational interviewing?
A. Eliciting and exploring the person’s own reasons for change
B. Motivating clients by providing the knowledge and skills needed to make a behavior change
C. Interviewing the client to assess the client’s stage of change
D. Educating the client on the benefits of making a change
A. Eliciting and exploring the person’s own reasons for change
Which of the following is one of the four components of the Spirit of MI?
A. Pairing
B. Accountability
C. Compassion
D. Enthusiasm
C. Compassion
Which process of MI does this dialogue represent?
Practitioner: What are some reasons you’d like to make this change?
Client: I know that if I actually slow down the eating process, I probably won’t eat so much. My stomach won’t hurt afterwards and I’ll probably feel less sluggish and tired afterwards.
Practitioner: You’ve noticed that your body feels better when you don’t feel stuffed.
A. Equalize
B. Filter
C. Evoke
D. Participate
C. Evoke
The four microskills of motivational interviewing are…
Open-ended questions, affirmations, reflections and summaries
What ratio describes the recommended frequency of reflections and open-ended questions?
2 reflections for every 1 open-ended question
Which of the following practitioner descriptions aligns most with MI?
A. A practitioner who tries to motivate the client by sharing what will happen to the client if the client decides not to change.
B. A practitioner who tells the client what to do.
C. A practitioner who listens to the client’s concerns and desires in a nonjudgmental and respectful way.
D. A practitioner who simply provides the client with nutrition information
C. A practitioner who listens to the client’s concerns and desires in a nonjudgmental and respectful way.
Which of the following can enhance partnership between the client and practitioner?
A. When the practitioners attempt to collaborate with their clients’ expertise
B. When practitioners communicate that they have the best answers to their clients’ problems
C. When practitioners share ideas that have worked personally
D. Talking over the client or finishing his or her sentences
A. When the practitioners attempt to collaborate with their clients’ expertise
Which process of MI does this dialogue represent?
Practitioner: How would you like to go about adding more fruits and vegetables into your diet? What ideas do you have for getting started?
Client: Adding a salad to dinner a few nights a week sounds doable. I like salads and especially when you get the bagged lettuce. That makes it really easy.
A. Enlist
B. Funnel
C. Earn respect
D. Plan
D. Plan
Which of the following questions would elicit a more meaningful and thoughtful response?
A. Do you like that idea?
B. What do you think about that idea?
C. Are you going to try that idea?
D. Is that idea going to work for you?
B. What do you think about that idea?
Which of the following strategies is best to use when you hear discord?
A. Ignore the negative emotion and keep moving forward in the session.
B. Ask the client to calm down.
C. Ask the client to try to be more positive.
D. Use reflective listening.
D. Use reflective listening.
Which of the following is an example of change talk from the client statement below?
“I’d like it if we didn’t eat out so often. More often than not, we’re hitting a drive thru on the way home from my son’s soccer practice. I just don’t really like cooking and I don’t think about planning meals in advance.”
A. I’d like it if we didn’t eat out so often.
B. More often than not, we’re hitting a drive thru on the way home from my son’s soccer practice.
C. I just don’t really like cooking
D. I don’t think about planning meals in advance
A. I’d like it if we didn’t eat out so often.
Which of the following practitioner responses is a good example of the expert trap?
A. What ideas do you have for adding more activity to your day?
B. What concerns you most about your current eating habits?
C. It’s really the eating out that’s the issue. Why not just cook more meals at home? I like to make a few meals on the weekends and then pull them out when I’m busy during the week.
D. Which of the changes that we’ve discussed sound like a good starting place for you?
C. It’s really the eating out that’s the issue. Why not just cook more meals at home? I like to make a few meals on the weekends and then pull them out when I’m busy during the week.
What is agenda mapping?
A. A discussion in which the practitioner and client discuss possible topics to discuss in the session.
B. A map that describes the goal-setting process.
C. An outline given to the client that explains exactly what will happen in the session.
D. At the end of the session when the practitioner maps out how the client will go about making the change discussed.
A. A discussion in which the practitioner and client discuss possible topics to discuss in the session.
Which of the following is an affirmation?
A. You did it!
B. Good job
C. You persevered despite some obstacles this week.
D. You’re amazing!
C. You persevered despite some obstacles this week.
Which of the following is a common cause of client discord?
A. The practitioner strays away from the spirit of MI.
B. The practitioner expresses non-judgment.
C. The practitioner supports client autonomy.
D. The practitioner uses reflective listening.
A. The practitioner strays away from the spirit of MI.
Kimberly has been told repeatedly by her doctor that she needs to check her blood sugars more often. While she understands how knowing these numbers can help her better manage her diabetes, she is concerned about the cost of the testing strips and doesn’t enjoy pricking her finger.
Based on the description of the individual above, which stage of change would you say she is in?
A. pre-contemplation
B. contemplation
C. preparation
D. action
E. maintenance
B. contemplation
Which of the following best describes the term absolute worth?
A. Perceiving and reflecting back another person’s meaning
B. Acknowledging client’s strengths and efforts
C. Accepting and confirming the client’s right to choose
D. Honoring the inherent value and potential of every human being
D. Honoring the inherent value and potential of every human being
A client says, “I need to cut way back on the time I spend on my phone. I know when I’m on social media, I start comparing myself to my friends and I feel awful. I start thinking about parts of my body I don’t like and it makes me want to binge. It’s just that I like being connected.” Which of the following responses demonstrates the best way to respond to ambivalence?
A. You find that being on your phone helps you stay connected to your friends.
B. What else do you like about spending time on your phone?
C. You notice that when you spend less time on your phone you feel better about yourself and that translates to food choices that honor your body.
D. Your friends are important to you.
C. You notice that when you spend less time on your phone you feel better about yourself and that translates to food choices that honor your body.
Which of the following positive characteristics might apply to the scenario below?
Janice is a single mom who works two jobs. She cuts out coupons each week and sticks to a tight weekly food budget of $70 for herself and her two small children. She brings a shopping list to the grocery store and sticks to her list.
A. Friendly
B. Organized
C. Courageous
D. Adventurous
B. Organized
Describe mindful eating
Slowing down the eating process while becoming aware of the pleasure experienced from the food
Tuning into hunger, fullness and satisfaction before, during, and after eating