Clinical Psychology Exam Graded A
2025
Motivational Interviewing - Correct Ans-Communication style that uses specific skills
and techniques that are motivational rather than judgmental in nature.
Self-Efficacy Theory - Correct Ans-Albert Bandura, 1968:
Motivation, ability and confidence lead to behavioral change
Wheel of Change - Correct Ans-Pre-contemplation, contemplation,
determination/preparation, action, maintenance and relapse
What does the acronym RULE stand for? (Guiding principles of Motivational
Interviewing) - Correct Ans-Resist, Understand, Listen, Empower
What does the acronym OARS stand for? (Guiding principles of Motivational
Interviewing) - Correct Ans-Open-ended questions, Affirm the client, Reflective listening,
Summarizing
Express empathy - Correct Ans-acceptance facilitates change, skillful reflective listening
is fundamental, ambivalence is normal, engagement and rapport help to establish a
working alliance with the person.
Develop discrepancy - Correct Ans-awareness of consequences is important,
discrepancy between current behavior and goals important to the individual motivates
change, let the person present the arguments for change.
Roll with resistance - Correct Ans-arguments are counterproductive, defending breeds
defensiveness, getting resistance..change strategies, labeling us unnecessary and
harmful.
Support self-efficacy - Correct Ans-belief in possibility of change is an important
motivator, person is responsible for choosing and carrying out personal change, there is
hope in the range of alternative approaches
Change Talk - Correct Ans-statements by the client revealing consideration or,
motivation for, or commitment to change (what we are aiming for)
What does the acronym DARN CAT stand for (preparatory and implementing change
talk) - Correct Ans-Desire (i want to change)
Ability ( i can change)
Reason (it's important to change)
Need (i should change)
Clinical
, Clinical
Commitment (i will make changes)
Activation (i am ready, prepared and willing to make change)
Taking steps (i am taking specific actions to change)
What are some strategies for evoking change talk? - Correct Ans-Ask evocative
questions
Explore decisional balance
Good things/ not so good things
Ask for elaboration/examples
Look back
Look forward
Query extremes
Use change rulers (scale 1-10 etc.)
Explore goals and values
Come alongside
Classical Conditioning (who, when, what, first example) - Correct Ans-Ivan Pavlov,
1897: a learning process that occurs when two stimuli are repeatedly paired: a response
which is at first elicited by the second stimulus is eventually elicited by the first stimulus
alone - dog training
Stimulus Generalization vs Discrimination - Correct Ans-Stimulus Generalization: the
tendency for stimuli to a conditioned stimulus to evoke the conditioned response
Stimulus Discrimination: the process by which organisms learn to respond to certain
stimuli but no to others
Operant Conditioning (who, when, what, first example) - Correct Ans-Edward Thorndike
(revised by B.F. Skinner), 1898: a method of learning that uses rewards and
punishment to modify behavior. Through operant conditioning, behavior that is rewarded
is likely to be repeated, and behavior that is punished will rarely occur. - Skinner's box
BF Skinner's Approach - Correct Ans-personality is a collection of learned behavioral
patterns. Infinitely changeable through the process of learning new behavioral patterns.
Shaping and Chaining (Operant Conditioning) - Correct Ans-Shaping: technique in
which closer and closer approximations to the desired behavior are required for the
delivery of positive reinforcement
Chaining: procedure that establishes a sequence of responses that lead to a reward
following the terminal or final response in the chain
Continuous Reinforcement (Operant Conditioning) - Correct Ans-reinforcement occurs
after every response
Partial Reinforcement (Operant Conditioning) - Correct Ans-Partial: reinforcement
occurs after some but not all responses
Clinical