Spirit of MI
Stages of Change
Change Talk
OARS
MI Review
100

What is one component of the underlying spirit of Motivational Interviewing? 

What is 

1. Partnership

2. Acceptance

3. Compassion

4. Empowerment

100

This stage—sometimes misunderstood as “failure”—is actually viewed in MI as a return to earlier behavior that can offer valuable insight into triggers and resilience-building.

What is Relapse

100

Phrases like “I’m ready to try” signal this CAT component that captures a client’s preparation or willingness to take a first step.

What is Activation

100

These types of questions encourage clients to explore their thoughts and feelings more deeply by inviting more than a yes‑or‑no response.

What are Open-Ended Questions?

100

What communication Style is used in Motivational Interviewing? 

What is Guiding

200

Unconditional positive regard shown to a client

What is Absolute Worth

200

Clients in this stage work to sustain gains and prevent setbacks, making reinforcement of strengths and strategies especially important.

What is Maintenance 

200

Statements indicating the client has already begun moving toward change—such as scheduling appointments or cutting back on a behavior—represent this component of CAT.

What is Taking Steps

200

Repeating or paraphrasing what the client has said to show understanding

What are Reflections

200

Name One of the times that Motivational Interviewing would be the right approach? 

What is

1. When the conversation is about potential change

2. The person is ambivalent about making a change

3. There is one particular target change or issue around which to focus the conversation

300

Building the client/person's awareness that they have the power to make choices. 

What is Support for Autonomy

300

Clients in this stage often don’t view their behavior as a problem, making gentle engagement and information‑sharing more effective than pushing for action.

What is Pre-Contemplation

300

Statements that reflect a client’s confidence in their capacity to change—such as “I could do this” or “I can handle it”—fall into this specific DARN component.

What is Ability

300

Reviewing key points in the conversation to reinforce motivation and clarify next steps

What is Summary

300
These are unconsious assumptions held by the practitioner that can undermine rapport, reduce autonomy, and lead to directing rather than partnering during Motivational Interviewing.

What are biases?

400

Connecting with how the client/person views their circumstances

What is Empathy

400

This stage is defined by observable behavior change, often supported by specific plans, strategies, or new routines the client is actively implementing.

What is Action

400

When clients begin offering personal justifications—like “It would help my health”—they’re expressing this part of DARN.

What is Reason

400

Recognizing the patient's strengths and efforts

What is Affirmations

400

This internal experience, often mistaken for resistance, is actually a sign that a client holds two competing truths at once, making it the precise moment where MI can generate momentum for change if handled skillfully.

What is Ambivalence

500

Name 1 of the 4 elements to Acceptance.

What is 

1. Absolute Worth

2. Support Autonomy

3. Affirmation

4. Accurate Empathy

500

This stage is marked by clients expressing both the pros and cons of change, making it the prime setting for eliciting change talk rather than offering solutions.

What is Contemplation?

500

What is one skill used to reinforce change talk?

What is 

1. Recognize it

2. Respond to it in a way that will draw out more change talk

3. Evoke it from the person

500

Similar to OARS, what skills do we use to respond to change talk?

What is EARS?

500

What are the four fundamentals of MI

What is Engaging, Focusing, Evoking, and Planning?