MI Terms & Study Guide NBHWC Exam Questions with complete solutions

MI Terms & Study Guide NBHWC Exam Questions with complete solutions 4 Central components of MI Acceptance, compassion, evocation, partnership Activation language mobilizing change talk towards action, falls short of commitment language. ie. Ready, willing, considering Acceptance Coach communicates self-worth, accurate empathy, affirmation, and autonomy support. Agenda Mapping short focusing metaconversation where you step back and client chooses a direction from several options. Agreement with a twist A reflection, affirmation, or accord followed by a reframe Ambivalence Simultaneous presence of competing motivations for and against change. Amplified Reflection Coach reflects with greater intensity than client expressed. A form of response to sustain talk or discord. Assessment Trap Error of beginning consultation with expert info. gathering at cost of not listening to client's concerns. Autonomy Support 1 of 4 aspects of acceptance as a component of MI. Interviewer accepts and confirms client's irrevocable right to self-determination and choice. Blaming Trap The clinical error of focusing on blame or fault-finding rather than change CAT Acronym for 3 subtypes of client mobilizing change talk: Commitment, Activation, Taking Steps Change Talk Any client speech that favors movement toward a particular change goal. Chat trap the clinical error of engaging in excessive small talk and informal chat that does not further the processes of engaging, focusing, evoking, and planning. Coming Alongside A response to persistent sustain talk or discord in which the interviewer accepts and reflects the client's theme. Commitment Language Client mobilizing change talk that reflects intention or disposition to carry out change. Verbs: Will, do, going to. Compassion One of the 4 central components of MI. Coach acts benevolently giving priority to client needs and welfare. Complex Reflection An interviewer reflection that adds additional or different meaning beyond what the client has just said; a guess as to what the client may have meant. Confidence Talk Change talk that particularly bespeaks ability to change. Continuing the paragraph A method of reflective listening in which the counselor offers what might be the next (as yet unspoken) sentence in the client's paragraph. DARN An acronym for four subtypes of client preparatory change talk: desire, ability, reason, and need Decisional Balance A choice-focused technique that can be used when counseling with neutrality, devoting equal exploration to the pros and cons of change or of a specific plan. Directing A natural communication style that involves telling, leading, providing advice, information or instruction. Discord Dissonance in the working relationship. Sustain talk does not itself constitute discord. Examples are arguing, interrupting, discounting, or ignoring. Double-sided reflection Reflection that includes both client sustain talk and change talk, usually with the conjunction "and." Elicit-provide-elicit Info. exchange process that begins and ends with exploring the client's own experience to frame whatever information is being provided to the client. Empathy The coach communicates accurate understanding of the client's perspectives and experiences, most commonly manifested as reflections. Engaging The 1st of 4 fundamental processes in MI. Process of establishing a mutually trusting and respectful helping relationship. Equipoise The coach's decision to counsel with neutrality in a way that consciously avoids guiding a client toward one particular choice or change and instead explores the available options equally. Evocation 1 of 4 central components of the underlying spirit of MI by which the interviewer elicits the client's own perspectives and motivation. Evocative Questions Strategic OE questions the natural answer to which is change talk. Evoking The third of the 4 fundamental processes of MI. Involves eliciting the person's own motivation for a particular change. Expert Trap The clinical error of assuming and communicating that the counselor has the best answers to the client's problems. Focusing The 2nd of the 4 fundamental processes of MI, which involves clarifying a particular goal or direction for change. Goldilocks Principle In order to be motivating, a discrepancy should not be too large or too small. Guiding A natural communication style for helping others find their way, combining some elements of both directing and following. Implementation Intention A stated intention or commitment to take a specific action. Intrinsic Motivation The disposition and enactment of behavior for its consistency with personal goals and values. Labeling Trap Coach error of engaging in unproductive struggles to persuade clients to accept a label or diagnosis. Linking Summary A special form of reflection that connects what the person has just said with something you remember from prior conversation. Menschenbild One's fundamental view of human nature. MET An acronym for Motivational Enhancement Therapy. Mobilizing Change Talk A subtype of client change talk that expresses or implies action to change: examples are commitment, activation language, and taking steps. MI A person-centered counseling style for addressing the common problem of ambivalence about change. Orienting Process of finding a direction for change when the focus of consultation is unclear. Overshooting A reflection that adds intensity to the content or emotion expressed by a client. (Amplified Reflection) Partnership 1 of the 4 central components of the spirt of MI which the coach functions as a partner, collaborating with the client's own experience. Person-centered Counseling A therapeutic approach introduced by Carl Rogers in which people explore their own experience within a supportive, empathetic, and accepting relationship. (client-centered counseling) Premature Focus Trap The clinical error of focusing before engaging. trying to direct before you have established a working collaboration and negotiated common goals. Preparatory Change Talk A subtype of client change talk that expresses motivations for change without stating or implying specific intent or commitment to do it; examples are desire, ability, reason, and need.