Chapter 9



Self- Assessment Questions

MI articles and video

1. Motivational interviewing was originally developed

a. over 30 years ago.

b. to treat adult obesity.

c. to treat childhood obesity.

d. to treat addictive behaviors.

2. In order to motive clients to change, you need to know

a. what values they find most important.

b. what they eat on a daily basis.

c. what they think about diets.

d. how often they want t be seen for counseling.

3. An example of an appropriate open-ended statement is

a. “Tell me why you don’t exercise.”

b. “Tell me do you eat out often.”

c. “ I’m interesting in hearing do you eat in fast food restaurants.”

d. “Give me some examples of how often you exercise.”

4. On of the most important elements of mastering motivational interviewing is responding to questions with advice

a. true

b. false

The next 3 questions refer to the following statement from a parent client: “I try to get my kids to go outside to play but they would rather watch TV all day. Sometimes I make them go outside for a half hour but then they are right back in front of the TV again. And it’s not so bad, is it? It keeps them busy and keeps them from fighting with each other. It gives me some peace and quiet.”

5. What would be an appropriate affirmation statement?

a. “You have made a big step in getting your kids outside.”

b. “Your need for quiet time is important.”

c. “Keeping kids from fighting is important.”

d. “Not locking the door and letting the kids back inside is important.”

6. What would be an appropriate reflective listening statement to respond to the client?

a. “It sounds like exercise for your children is not important to you so you let them watch TV.”

b. “Let me see if I understand, you cannot get your kids to exercise and allow them to watch TV so you can have peace and quiet.”

c. “You realize that exercise is important for your children but you get benefits from them watching TV.”

d. “You feel that if they if they can not watch TV you won’t get any time for yourself.”

7. A appropriate open-ended question to follow-up would include:

e. “Tell me what TV shows your children like to watch?”

f. “Tell me about how often do they go outside to play?”

g. “How often do you need quiet time?”

h. “What else do you like to do?”

8. If you are talking to a client and say, “Health experts recommend that children drink no more than 6 ounces of juice per day, and no sugared drinks. According to your survey, your child drinks 16 oz of juice per day. What do you think about that?” What MI technique are you using?

a. open-ended questions

b. reflective listening statement

c. developing discrepancies

d. providing affirmations

9. Adherence to a weight management plan has been shown to be improved by

a. providing healthy recipes for the client to follow.

b. having the physician reinforce the nutrition and physical activity plan.

c. having the client keep logs/records of their progress.

d. using summary statements that focus on key points.

10. The 1-10 scale can be used to assess

a. When a client is going to make behavior change

b. What they know about changing behavior

c. What the barriers are for changing behaviors

d. Readiness to have a follow-up appointment

11. Which of the following is not a motivational interviewing technique?

a. counselor interpretation of information

b. setting of an agenda

c. rolling with resistance

d. change talk

12. When using a scale of 1-10 to evaluate motivation to change and the client chooses a 2. They are in which stage of change?

a. Pre-Contemplation

b. Contemplation

c. Preparation

d. Action

13. When using a scale of 1-10 to evaluate motivation to change and the client chooses a 8. They are in which stage of change?

a. Pre-Contemplation

b. Contemplation

c. Preparation

d. Action

14. Summerizing information can be done

a. only at the end of the session.

b. only when asking for permission.

c. throughout the session.

d. only by the client/patient.

Expert Committee Recommendations

15. The major problem with determining how much 100% fruit juice a child drinks is

a. children drink juice at school and cannot tell the amount.

b. children do not drink much 100% juice.

c. parents do not the difference between 100% juice and fruit drink.

d. juice in the bottle is difficult to assess.

16. The dietary intervention that appears to have the greatest impact on reducing obesity is

a. fruit.

b. vegetables.

c. 100% fruit juice.

d. sweetened beverages.

17. A dietary risk factor for obesity is skipping

a. dinner.

b. lunch.

c. snacks.

d. breakfast.

18. On 3 days a week, children and adolescents should do

a. 60 minutes of physical activity.

b. moderate physical activity.

c. muscle strengthening exercises.

d. 30 minutes on the treadmill.

19. The largest impact on obesity is for interventions lasting

a. less than 10 hours.

b. 10-25 hours.

c. 26-75 hours.

d. over 75 hours.

20. Including parents in obesity interventions is least effective when

a. children are in a school based intervention.

b. children are not interested in making changes.

c. the child is less than 12 years of age.

d. the child is over 12 years of age.

21. Stage One of the staged approach to treating childhood obesity

a. includes supervised physical activity plans.

b. is designed to be incorporated in the primary care provider’s office.

c. provides for group programs for intervention.

d. is only for children under 12 years of age.

22. Stage Two of the staged approach to treating childhood obesity recommends follow-up

a. every 2 weeks.

b. once a month.

c. once every 3 months.

d. every 3-6 months.

23. Stage Three of the staged approach to treating childhood obesity

a. suggests use of medication in conjunction with behavior management.

b. is designed to be incorporated in the primary care provider’s office.

c. provides for group programs for intervention.

d. is only for children under 12 years of age.

24. Weight loss recommendations for children over the age of 12 who are above the 95th BMI percentile includes

a. allow children to grow into their weight until the BMI is < 85th percentile.

b. gradual weight loss until BMI< 85th BMI percentile.

c. weight loss of up to 2 pounds per week until BMI< 85th BMI percentile.

d. weight loss of 1 pound a month.

25. Use of medications for weight loss

a. safe for children under 12.

b. can be used in conjunction with physical activity plan.

c. should be prescribed by primary care provider.

d. should be used as part of a comprehensive program

26. Criteria for Bariatric Surgery in teens includes

a. only children over 12 years of age.

b. children who are at greater than 90th BMI percentiles..

c. children who have reached physiologic maturity.

d. should be recommended for children with special health care needs.

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