Multiple Choice
1. Because change does not happen quickly, it is better viewed as:
a.
A stage
b.
A process
c.
The responsibility of the client
d.
An undertaking for higher functioning clients
2. A person may find that he cannot sustain the new behavior or way of being over a long period of time. This is known
as:
a.
Shame
b.
Doubt
c.
Relapse
d.
Motivation
c
Stages of Change
3. Which of the following is not an appropriate example of “change–talk”?
a.
“How might we, together, achieve your goal of managing your anger?”
b.
“How might your life be different if you were able to defuse your anger more effectively?”
c.
“What do you think is preventing you from managing your anger?”
d.
“What have you tried in the past to reduce your anger that you’ve found to be beneficial?”
4. It is suggested that when people see or perceive discrepancies between their expectations and reality, the response is
one of:
a.
Dissonance
b.
Ambivalence
c.
Anger
d.
Ostracism
b
Understanding Ambivalence and Resistance
5. When a client speaks openly about his or her ambivalence, it should be obvious that:
a.
You have hit a roadblock.
b.
Your path, until now, has been counterproductive.
c.
It is time for you as the counselor to take control and lead more effectively.
d.
Something positive and therapeutic has happened.
d
Understanding Ambivalence and Resistance
6. Reflective listening is best used:
a.
After each individual probing question
b
Stages of Change
b.
At the end of a series of probing questions
c.
When the client cues that he or she has something constructive to add
d.
Only when you sense it is vital for the client to “re–hear” what he or she has said
7. Taking the client’s side in reflective listening can be particularly effective when the client is expressing:
a.
Anger
b.
Being stuck in a quagmire
c.
Reluctance
d.
Rebelliousness
8. A client presents a series of arguments as to why he or she cannot change. The counselor admits that the situation is
helpless. This approach is:
a.
A good example of reverse psychology
b.
Shown to be effective in a number of studies
c.
Beneficial in reframing the client’s situation—that only with change can a positive outcome be achieved
d.
Effective only in backing a client into an inescapable corner
d
Trapping the Client
9. Miller and Rollnick suggest that an effective precursor to the ability to “summarize” is a counselor’s ability to engage
in:
a.
Collaboration
b.
Reflective listening
c.
Open-ended questioning
d.
The fostering of self-determination
b
From Adversarial to Collaborative
10. Resistance is always deemed a sign that the counselor must take which first step?
a.
Pushing ahead as a breakthrough is most likely on the verge of occurring
b.
Engaging in reflective listening
c.
Backing up
d.
Displaying unconditional positive acceptance
c
Understanding Ambivalence and Resistance
Subjective Short Answer
11. Name 2 of the 5 stages of change.
Answers will vary
PAGE 240-241
a
Communication Skills That Facilitate Change
12. In ch 12, the author states who is responsible for change?
13. Coming Alongside is another way of saying what?
14. Name 2 symptoms of a discouraged client.
15. Name 3 things a cased manager can do/be in order to encourage clients.
Essay
16. Discuss 2 common mistakes case managers make when they see ambivalence in their clients
17. Discuss what is meant by the following statement: Recovery should address the client in an holistic manner.
18. A key concept in Human Services and case manager is the client’s right to self determination. Discuss your
understanding of that concept in a few brief sentences.
19. As a case manager, give a few examples of how you would help your clients talk about change.