ISSA CPT EXAM QUESTIONS WITH
VERIFIED ANSWERS
What is a key indicator for Preparation? - ANSWER-Begins to take small steps toward
the target behavior change (e.g., buys exercise apparel or equipment, signs up for a
gym membership, collects information, initiates the hire of a personal trainer)
Action - ANSWER-Engaged in change behavior for less than six months; new behavior
is not fully stabilized
what is a key indicator for Action? - ANSWER-Actively doing things to change or modify
behavior
Structures their environment in ways that support their healthy behavior (e.g., avoids
temptations that trigger the undesirable behavior)
Maintenance - ANSWER-Sustaining their new, healthy behavior for more than six
months
What is a key indicator for Maintenance - ANSWER-New behavior becomes second
nature
Greater confidence in ability to maintain the new behavior
Greater sense of control over their behavior
What are the client cues for Pre-contemplation stage? - ANSWER-( Not ready for
change)
"I won't."
"I can't in the next six months."
What are the client cues for Contemplation? - ANSWER-(thinking about changing)
"I may in the next six months."
What are the client cues for Preparation ? - ANSWER-(Preparing to make change)
"I will in the next month."
What are the client cues for Action ? - ANSWER-(taking action to change)
"I'm doing ____ now."
What are the client cues for Maintenance ? - ANSWER-(maintaining positive behaviors)
"I've been doing ____ for at least 6 months."
What are the two categories of the process of change - ANSWER-experiential and
behavioral.
,Experiential processes - ANSWER-influence behavior indirectly by focusing on the
thoughts, perceptions, or feelings that an individual might have about the target
behavior. (intrinsic)
Experiential processes include: - ANSWER-consciousness-raising,
dramatic relief,
self-reevaluation,
environmental reevaluation,
and social liberation.
Behavioral processes of change focus on: - ANSWER-active strategies and influence
behavior directly by manipulating environmental, social, or situational cues to encourage
the desired behavior.
Behavioral processes of change include: - ANSWER-self-liberation
helping relationships
counterconditioning
reinforcement management
stimulus control.
Consciousness-raising - ANSWER-Getting the facts
Increasing information about self and of the unhealthy, undesired behavior (current
state of behavior) and/or their potential new behavior
(self aware)
What are practical suggestions for Consciousness-raising? - ANSWER-Providing
factual information and data relevant to the client's current behavior and target behavior
Dramatic relief - ANSWER-Invoking emotions
Experiencing and expressing emotional reactions to the idea of continuing the unhealthy
behavior (e.g., staying the same) and to the idea of initiating a change (e.g., enacting
the healthy behavior)
(sick of the old self)
What are practical suggestions for Dramatic relief? - ANSWER-Using MI techniques to
engage the client's emotions (e.g., engaging in supportive, empathetic listening to allow
clients to express emotions without judgment or insinuating a need for them to stop or
change the emotion)
(be a mute counselor)
Self-reevaluation - ANSWER-Creating a new self-image
, Rethinking one's self-image to include the possibility of a successful behavior change
What are practical suggestions for Self Reevaluation? - ANSWER-Helping clients clarify
their core values, identifying healthy role models(Megan the stallion body...motivation..
dream body), and visualizing oneself reaching and maintaining the desired behavior
change
Environmental reevaluation - ANSWER-Realizing the effect on others.
Reflecting on how one's current behavior affects the physical environment and people
around them to include those they care about
(public figure, Kim K)
What are practical suggestions for Environmental Re-evaluation? - ANSWER-Asking
the client to reflect on how their behaviors are impacting others around them; asking the
client to consider another person's perspective on the impact of their behavior (e.g.,
increase empathy)
Social liberation - ANSWER-Noticing societal acceptance.
Increasing awareness of how the healthy, desired behavior is supported by society
(embracement)
What are practical suggestions for Social Liberation? - ANSWER-Helping clients realize
how the desired, healthier behavior is valued within their social communities and society
at large; helping bridge the client's motivational need of a sense of connectedness to
others who actively engage in the target behavior, such as societal role models and/or
people within the client's social circle
List the Experiential Process(es) of Change - ANSWER-Conscious Raising
Dramatic Relief
Self Reevaluation
Environmental Reevaluation
Social Liberation
How many process of change are there? - ANSWER-10
It is broken down in 2 categories:
Experiential & Behavioral
Self-liberation - ANSWER-Committing with confidence.
Committing to take action with the belief that change is possible
VERIFIED ANSWERS
What is a key indicator for Preparation? - ANSWER-Begins to take small steps toward
the target behavior change (e.g., buys exercise apparel or equipment, signs up for a
gym membership, collects information, initiates the hire of a personal trainer)
Action - ANSWER-Engaged in change behavior for less than six months; new behavior
is not fully stabilized
what is a key indicator for Action? - ANSWER-Actively doing things to change or modify
behavior
Structures their environment in ways that support their healthy behavior (e.g., avoids
temptations that trigger the undesirable behavior)
Maintenance - ANSWER-Sustaining their new, healthy behavior for more than six
months
What is a key indicator for Maintenance - ANSWER-New behavior becomes second
nature
Greater confidence in ability to maintain the new behavior
Greater sense of control over their behavior
What are the client cues for Pre-contemplation stage? - ANSWER-( Not ready for
change)
"I won't."
"I can't in the next six months."
What are the client cues for Contemplation? - ANSWER-(thinking about changing)
"I may in the next six months."
What are the client cues for Preparation ? - ANSWER-(Preparing to make change)
"I will in the next month."
What are the client cues for Action ? - ANSWER-(taking action to change)
"I'm doing ____ now."
What are the client cues for Maintenance ? - ANSWER-(maintaining positive behaviors)
"I've been doing ____ for at least 6 months."
What are the two categories of the process of change - ANSWER-experiential and
behavioral.
,Experiential processes - ANSWER-influence behavior indirectly by focusing on the
thoughts, perceptions, or feelings that an individual might have about the target
behavior. (intrinsic)
Experiential processes include: - ANSWER-consciousness-raising,
dramatic relief,
self-reevaluation,
environmental reevaluation,
and social liberation.
Behavioral processes of change focus on: - ANSWER-active strategies and influence
behavior directly by manipulating environmental, social, or situational cues to encourage
the desired behavior.
Behavioral processes of change include: - ANSWER-self-liberation
helping relationships
counterconditioning
reinforcement management
stimulus control.
Consciousness-raising - ANSWER-Getting the facts
Increasing information about self and of the unhealthy, undesired behavior (current
state of behavior) and/or their potential new behavior
(self aware)
What are practical suggestions for Consciousness-raising? - ANSWER-Providing
factual information and data relevant to the client's current behavior and target behavior
Dramatic relief - ANSWER-Invoking emotions
Experiencing and expressing emotional reactions to the idea of continuing the unhealthy
behavior (e.g., staying the same) and to the idea of initiating a change (e.g., enacting
the healthy behavior)
(sick of the old self)
What are practical suggestions for Dramatic relief? - ANSWER-Using MI techniques to
engage the client's emotions (e.g., engaging in supportive, empathetic listening to allow
clients to express emotions without judgment or insinuating a need for them to stop or
change the emotion)
(be a mute counselor)
Self-reevaluation - ANSWER-Creating a new self-image
, Rethinking one's self-image to include the possibility of a successful behavior change
What are practical suggestions for Self Reevaluation? - ANSWER-Helping clients clarify
their core values, identifying healthy role models(Megan the stallion body...motivation..
dream body), and visualizing oneself reaching and maintaining the desired behavior
change
Environmental reevaluation - ANSWER-Realizing the effect on others.
Reflecting on how one's current behavior affects the physical environment and people
around them to include those they care about
(public figure, Kim K)
What are practical suggestions for Environmental Re-evaluation? - ANSWER-Asking
the client to reflect on how their behaviors are impacting others around them; asking the
client to consider another person's perspective on the impact of their behavior (e.g.,
increase empathy)
Social liberation - ANSWER-Noticing societal acceptance.
Increasing awareness of how the healthy, desired behavior is supported by society
(embracement)
What are practical suggestions for Social Liberation? - ANSWER-Helping clients realize
how the desired, healthier behavior is valued within their social communities and society
at large; helping bridge the client's motivational need of a sense of connectedness to
others who actively engage in the target behavior, such as societal role models and/or
people within the client's social circle
List the Experiential Process(es) of Change - ANSWER-Conscious Raising
Dramatic Relief
Self Reevaluation
Environmental Reevaluation
Social Liberation
How many process of change are there? - ANSWER-10
It is broken down in 2 categories:
Experiential & Behavioral
Self-liberation - ANSWER-Committing with confidence.
Committing to take action with the belief that change is possible
