NSHC CORE MAIN ALL QUESTIONS AND
ANSWERS SURE A+
✔✔Identifying Stages of Change With Client - ✔✔Pre contemplation: Not considering
Contemplation: Thinking about within next 6 months
Preparation: Ready within next month
Action: Started within last 6 months
Maintenance: Preventing relapse 6 months and beyond
Termination/Relapse: Success vs. relapse
✔✔General Influences On Behavior - ✔✔Great or Silent Generation(1922-45): not
wasteful, values honesty
Baby Boomers(1946-64): loyal to work, enjoys climbing success ladder
Generation X(1965-80): Tech generation, takes fastest route to results
GenerationnY(1981-1994): Wants immediate results, skips steps to achieve what they
want
✔✔Cultural Competence - ✔✔Ability to interact effectively with people of different
cultures without bias. Behavior patterns, social curcumstance, and environmental
exposure have significant influence. Effective communication depends on
understanding the influence of culture on health decisions.
✔✔Why Open-Ended Questions are Helpful? - ✔✔Helps guide the agenda to use
clinical experience and expertise to help your client determine the scope of your work
together.
✔✔Facts About Establishing Goal Detail That Often Help Clients Achieve Results? -
✔✔Specific: States what the client wants to achieve
Measurable: Gauge what is accomplished
Agreed upon: Confirm the client's willingness and ability to work toward the goal
Realistic: Guide the client to select goals that are safe and obtainable
Time-sensitive: Establish a reasonable and specific timeframe to have reached the goal
(check detail took resource online)
, ✔✔History of Motivational Interviewing - ✔✔Developed in early 80's to treat alcohol
addiction.
✔✔Transition From Do As I Say Approach - ✔✔MI is collaborative, evocative, and one
that honors individual's autonomy. The conversation fosters the partnership between
both parties, instead of being based primarily on the healthcare provider's agenda.
✔✔What the Client Thinks About Changing - ✔✔Desire: what the client wants or prefers
Ability: what the client believes he/she can do
Reason: why the client wants to change
Need: why the client feels it's important or necessary to change
Commitment: client is committed to change
Activation: client's language suggests he/she may or may not be fully committed to
change
Taking steps: Client has already taken steps of some type toward change
✔✔Ambivalence - ✔✔The result of conflicting feelings, the result of not knowing
whether to move or stay put. Ex: client feels one way about an issue, but on the other
hand, feels the opposing way.
✔✔Purpose of Each Part of O.A.R.S - ✔✔Open-ended responses: Require client to
think in order to respond
Affirmation: helps validate steps that an individual is taking to reach the goal
Reflection: Made as statements, not questions (declarative statement)
Summarizing: brief overview of converstation allows you to reiterate the main points and
validate your interest in concerns expressed.
✔✔OARS vs Neutral Response - ✔✔Neutrality is when the coach consciously decides
to avoid influencing the direction in which ambivalence is resolved. The health coach
remains neutral on the client's issue or refrains from guiding the client in a particular
direction. The goal is to move the client toward making a decision.
✔✔Recognize Righting Reflex and How To Avoid - ✔✔Healthcare workers by nature
want to "fix, or right" people. To make them well or to help restore them to their optimal
level of health. If we try to make a correction to the client's current state of behavior, the
client will resist more. Avoid: convincing individuals they have a problem, arguing for the
benefits of change, telling someone how to change, warning them of consequences of
not changing.
✔✔How to Empower - ✔✔
✔✔Identifying Resistance - ✔✔
✔✔Managing Resistance - ✔✔
ANSWERS SURE A+
✔✔Identifying Stages of Change With Client - ✔✔Pre contemplation: Not considering
Contemplation: Thinking about within next 6 months
Preparation: Ready within next month
Action: Started within last 6 months
Maintenance: Preventing relapse 6 months and beyond
Termination/Relapse: Success vs. relapse
✔✔General Influences On Behavior - ✔✔Great or Silent Generation(1922-45): not
wasteful, values honesty
Baby Boomers(1946-64): loyal to work, enjoys climbing success ladder
Generation X(1965-80): Tech generation, takes fastest route to results
GenerationnY(1981-1994): Wants immediate results, skips steps to achieve what they
want
✔✔Cultural Competence - ✔✔Ability to interact effectively with people of different
cultures without bias. Behavior patterns, social curcumstance, and environmental
exposure have significant influence. Effective communication depends on
understanding the influence of culture on health decisions.
✔✔Why Open-Ended Questions are Helpful? - ✔✔Helps guide the agenda to use
clinical experience and expertise to help your client determine the scope of your work
together.
✔✔Facts About Establishing Goal Detail That Often Help Clients Achieve Results? -
✔✔Specific: States what the client wants to achieve
Measurable: Gauge what is accomplished
Agreed upon: Confirm the client's willingness and ability to work toward the goal
Realistic: Guide the client to select goals that are safe and obtainable
Time-sensitive: Establish a reasonable and specific timeframe to have reached the goal
(check detail took resource online)
, ✔✔History of Motivational Interviewing - ✔✔Developed in early 80's to treat alcohol
addiction.
✔✔Transition From Do As I Say Approach - ✔✔MI is collaborative, evocative, and one
that honors individual's autonomy. The conversation fosters the partnership between
both parties, instead of being based primarily on the healthcare provider's agenda.
✔✔What the Client Thinks About Changing - ✔✔Desire: what the client wants or prefers
Ability: what the client believes he/she can do
Reason: why the client wants to change
Need: why the client feels it's important or necessary to change
Commitment: client is committed to change
Activation: client's language suggests he/she may or may not be fully committed to
change
Taking steps: Client has already taken steps of some type toward change
✔✔Ambivalence - ✔✔The result of conflicting feelings, the result of not knowing
whether to move or stay put. Ex: client feels one way about an issue, but on the other
hand, feels the opposing way.
✔✔Purpose of Each Part of O.A.R.S - ✔✔Open-ended responses: Require client to
think in order to respond
Affirmation: helps validate steps that an individual is taking to reach the goal
Reflection: Made as statements, not questions (declarative statement)
Summarizing: brief overview of converstation allows you to reiterate the main points and
validate your interest in concerns expressed.
✔✔OARS vs Neutral Response - ✔✔Neutrality is when the coach consciously decides
to avoid influencing the direction in which ambivalence is resolved. The health coach
remains neutral on the client's issue or refrains from guiding the client in a particular
direction. The goal is to move the client toward making a decision.
✔✔Recognize Righting Reflex and How To Avoid - ✔✔Healthcare workers by nature
want to "fix, or right" people. To make them well or to help restore them to their optimal
level of health. If we try to make a correction to the client's current state of behavior, the
client will resist more. Avoid: convincing individuals they have a problem, arguing for the
benefits of change, telling someone how to change, warning them of consequences of
not changing.
✔✔How to Empower - ✔✔
✔✔Identifying Resistance - ✔✔
✔✔Managing Resistance - ✔✔
