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Motivational Interviewing & NBHWC Exam Study Guide – Key Terms and Complete Practice Solutions.

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This document is a comprehensive Motivational Interviewing (MI) terminology reference and study guide tailored for the NBHWC (National Board for Health & Wellness Coaching) certification exam. It defines and explains essential MI concepts, techniques, and traps, including change talk, evocation, reflections, empathy, the stages of change, and the spirit of MI. Also included are detailed exam-aligned definitions, coaching principles, behavioral theories, and clinical best practices with correct answers for review.

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MI TERMS & STUDY GUIDE NBHWC EXAM
QUESTIONS WITH COMPLETE SOLUTION.
4 Central components of MI ~CORRECT ANSWER~Acceptance,
compassion, evocation, partnership



Activation language ~CORRECT ANSWER~mobilizing change talk
towards action, falls short of commitment language. ie. Ready, willing,
considering



Acceptance ~CORRECT ANSWER~Coach communicates self-worth,
accurate empathy, affirmation, and autonomy support.



Agenda Mapping ~CORRECT ANSWER~short focusing
metaconversation where you step back and client chooses a direction from
several options.



Agreement with a twist ~CORRECT ANSWER~A reflection, affirmation,
or accord followed by a reframe



Ambivalence ~CORRECT ANSWER~Simultaneous presence of
competing motivations for and against change.

,Amplified Reflection ~CORRECT ANSWER~Coach reflects with greater
intensity than client expressed. A form of response to sustain talk or
discord.



Assessment Trap ~CORRECT ANSWER~Error of beginning consultation
with expert info. gathering at cost of not listening to client's concerns.



Autonomy Support ~CORRECT ANSWER~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 ~CORRECT ANSWER~The clinical error of focusing on
blame or fault-finding rather than change



CAT ~CORRECT ANSWER~Acronym for 3 subtypes of client mobilizing
change talk: Commitment, Activation, Taking Steps



Change Talk ~CORRECT ANSWER~Any client speech that favors
movement toward a particular change goal.



Chat trap ~CORRECT ANSWER~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 ~CORRECT ANSWER~A response to persistent
sustain talk or discord in which the interviewer accepts and reflects the
client's theme.



Commitment Language ~CORRECT ANSWER~Client mobilizing change
talk that reflects intention or disposition to carry out change. Verbs: Will,
do, going to.



Compassion ~CORRECT ANSWER~One of the 4 central components of
MI. Coach acts benevolently giving priority to client needs and welfare.



Complex Reflection ~CORRECT ANSWER~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 ~CORRECT ANSWER~Change talk that particularly
bespeaks ability to change.



Continuing the paragraph ~CORRECT ANSWER~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 ~CORRECT ANSWER~An acronym for four subtypes of client
preparatory change talk: desire, ability, reason, and need

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