HSC 440 Final
Your coaching partner states the following: "I have been working so hard in keeping my motivation and exercise at least 3-4 times a week. Unfortunately, some weeks I am unable to meet my goal. My boyfriend wants us to watch sports on TV (sometimes even live-if we find tickets). I want to share activities that are important to him." The masterful coach synchronizes with this client, affirms, and highlights these outstanding strengths in her/his reflections. Select the best affirmation/reflection based on the statement above. "Your humor is noticeable in this situation and certainly helps you to move forward." "Your persistence in keeping the focus on your goal helps you to achieve your goal most weeks even if at times your schedule changes." "Your sense of perspective helps you in selecting activities that are important in this moment in your life." "Your sense of curiosity keeps you moving forward."
"Your sense of perspective helps you in selecting activities that are important in this moment in your life."
It is essential that as a coach we address risk factors for heart disease before starting a vigorous exercise program. According to the American Collect of Sports Medicine some of the risk factors include (select all that apply): Family history, pain, and discomfort in chest, neck, jaw, arms Drinking too many fluids Shortness of breath and dizziness Palpitations and a known heart murmur
*Family history, pain, and discomfort in chest, neck, jaw, arms *Shortness of breath and dizziness *Palpitations and a known heart murmur
Vigorous exercise is equivalent to walking or running faster than 3 mph 4 mph 5 mph 6 mph
5 mph
After completing a coaching agreement, it is appropriate to: Define the expectations for the coaching process Discover the client's vision for optimal health and well-being Discuss fees for services Describe the coaching structure
Define the expectations for the coaching process
John was diagnosed with hyperlipidemia after his fasting blood sugar levels indicated that his total cholesterol was >150 mg/dL and his HDL was >50 mg/dL. Was this diagnostic correct? True Note that in this question, the most important clue was that the client is a male. His HDL level is NOT low, right? I encourage you to review HDL high vs. low. False
False
Coach: How important do you think it is that you quit smoking?Coaching Partner: Oh, I think it is crucial for my health. My asthma has gotten much worse.Coach: So you know all the dangers of smoking.Coaching Partner: Yes, of course, I do.Coach: It's probably the most important thing you can do for your health Which of the following alternative responses would be more effective than the last answer given by the coach? So, I certainly don't need to lecture you about how important it is. How confident are you that you could make this change? Can I share a concern with you? It's probably the most important thing that you can do for your health. Maybe we could go over all the reasons that you should have to quit smoking. So, at this point, why don't we set a quit date and start working on a plan?
So, I certainly don't need to lecture you about how important it is. How confident are you that you could make this change?
preparation
ambivalent feelings have been largely overcome
Because motivation alone does not propel coaching partners--effective, behavioral goals should: Should be SMART Break down large goals into incremental goals for the stage of change Include only 1 behavior/goal/experiment at once Have INTRINSIC value/not from the outside Address environmental factors Evolve each week, trial and correction Only have INTRINSIC value/not from the outside and be SMART Both a & b are correct
both a and b are correct
It is necessary for a client to revisit his or her vision and three-month goals every week. True False
false
maintenance
in this stage people
Tracking progress over time is strongly linked to long-term success, so clients learn to track their own behavior, problem-solve, and observe the impact of their actions. When reviewing progress, the coach does not focus on the outcome, but rather emphasizes the client's effort and what is learned during both successes and setbacks.
true
the most critical moment of a coaching session is arguably the few minutes right before it starts. True False
true
Coaching partner states: "I don't have time to buy or fix fresh vegetables. My family and friends don't either." The coach provides an amplified reflection; select the statement that depicts an amplified reflection. "I hear you say that you don't have time to eat fresh vegetables and that your family and friends don't either." "I hear you saying that you don't know anyone who has time to buy or fix fresh vegetables and that it's impossible for you to for eating fresh vegetables into your schedule." "I hear you say that you don't have time to eat healthily and that your family and friends don't either. But I've also heard you say that eating healthy makes you feel better and that eating healthy regularly would be good for your health." "Because you don't have time to eat healthy, let's talk about the new walking routine you started with your partner. You said you liked this new routine."
"I hear you saying that you don't know anyone who has time to buy or fix fresh vegetables and that it's impossible for you to for eating fresh vegetables into your schedule."
Which statement/s are MI Non-Adherent as they give information to the client? Select all that apply. "And also, of course, it's so important to have proper shoes when you're running, definitively to protect the rest of your body." "I have read that your room and your bed are only supposed to be for comforting and sleeping. So, it makes sense why you would want to leave your stress outside of the door." "I'm excited to see what our next session holds for us. I'm excited to see just in a week how much you have progressed on making this positive life change." "Are you allowed to take breaks or anything? To walk around." "This is really an exciting time for you."
*"And also, of course, it's so important to have proper shoes when you're running, definitively to protect the rest of your body." *"I have read that your room and your bed are only supposed to be for comforting and sleeping. So, it makes sense why you would want to leave your stress outside of the door." *I'm excited to see what our next session holds for us. I'm excited to see just in a week how much you have progressed on making this positive life change."
A commonly used assessment in Health Coaching is (select all that apply): The University of Michigan Health Risk Assessment Dietary habits by using 24-hour recall or one that addresses eating habits One that addresses health and mental issues Wellness Inventory
*wellness inventory
Which coaching partner would be at a higher risk of chronic disease? A 45-year old man of south-east Asian descent with a BMI of 22.3. A 38-year old woman who gets 9.5 hours of moderate quality sleep most nights. A 23-year old man who achieves 160 minutes of moderate physical activity a week. A 64-year old woman with a waist circumference of 36 in (91.5 cm).
A 64-year old woman with a waist circumference of 36 in (91.5 cm).
Robert, a 58-year-old man, visits the coach's office for the 4th session. Robert's wellness motivators are being fit, practicing mindfulness, and being intentional with the time on social media. He also values feeling better about himself and looking good in his skin, becoming less anxious and stressed (being more present at the moment), and using his time well without the dangers of frivolous distraction. During the first third coaching session, he focused his attention on decreasing body fat percentage by successfully exercising vigorously four times a week. In this session, he wants to discuss how to utilize Facebook, Instagram, and other social media outlets as a way to strengthen his existing bonds in real life rather than feeling that his time in social media is a "brain drain." Which of the following is the most appropriate next step by the coach? Ask the client to explore the steps involved in using social media to strengthen his existing bonds. Ask the client to journal about the time he spends on social media and the emotions associated. Encourage the client to think about new and creative ways to connect with friends. Explore alternatives ways to exercise while connecting with friends.
Ask the client to explore the steps involved in using social media to strengthen his existing bonds.
In the session opening the coach: Asks how the client was doing last week Doesn't use reflections to show an understanding of the client's state Invites the client to share the worst thing that happened from the previous week(s) Reflects something positive about the client (e.g., highlights, strengths, or emotions) Asks the client to select the first weekly goal to be discussed Asks how the client is right now "at this moment." Uses reflections to show an understanding of the client's state Invites the client to share the best thing that happened from the previous week(s) Reflects something positive about the client (e.g., highlights, strengths, or emotions) Asks the client to select the first weekly goal to be discussed Asks how the client was doing last week Doesn't use reflections to show an understanding of the client's state Reflects something positive about the client (e.g., highlights, strengths, or emotions) Asks the client to select the first weekly goal to be discussed Asks how the client is right now "at this moment."
Asks how the client is right now "at this moment." Uses reflections to show an understanding of the client's state Invites the client to share the best thing that happened from the previous week(s) Reflects something positive about the client (e.g., highlights, strengths, or emotions) Asks the client to select the first weekly goal to be discussed
The coach says: "Let's envision that something ridiculously positive happens after you stop smoking; what are the best things that might come out after making this change?" What is the coach attempting to do? Eliciting the client to imagine extremes Eliciting the client to explore pros Eliciting the client to look back Eliciting the client to elaborate
Eliciting the client to imagine extremes
Which of the following statements about diabetes diagnosis is true? Fasting serum glucose >= 115 mg/dL (6.4 mmol/L) or 1-hour postpandrial glucose >= 200 mg/dL (11.1 mmol/L) during an oral glucose tolerance test (OGTT) is diagnostic of diabetes. Fasting serum glucose >= 126 mg/dL (7.0 mmol/L) or 1-hour postpandrial glucose >= 200 mg/dL (11.1 mmol/L) during an oral glucose tolerance test (OGTT) is diagnostic of diabetes. A 2-hour serum glucose during an oral glucose tolerance test (OGTT) of 140-199 mg/dL (7.8 - 11.0 mmol/L) is diagnostic of diabetes. A patient with frequent urination whose random blood sugar in office of 165 mg/dL (9.2 mmol/L).
Fasting serum glucose >= 126 mg/dL (7.0 mmol/L) or 1-hour postpandrial glucose >= 200 mg/dL (11.1 mmol/L) during an oral glucose tolerance test (OGTT) is diagnostic of diabetes.
A 49-year-old man visits his coach after being referred by his primary care provider for a first coaching session. His provider recommended that he reduce his weight, reduce his food intake, and increase his physical activity level. His blood pressure was 163/95 mm, his BMI was 33 kg/m2, and his waist circumference was 102 centimeters (40 inches). He brings his laboratory results, which are shown: Glucose, fasting 124 mg/dL Cholesterol, total 201 mg/dL HDL-cholesterol 56 mg/dL LDL-cholesterol 175 mg/dL Triglycerides 180 mg/dL Which of the following biometric readings is within a normal reference range? BMI Glucose level Blood pressure LDL-cholesterol HDL-cholesterol
HDL cholesterol
In her 4th coaching session, a 50- year old woman reports sudden mood swings, lower sex drive, hot flashes, frequent sweating, trouble sleeping, vaginal dryness, and soreness but still has regular periods. Her doctor diagnosed perimenopause and recommended her to consider using combination hormone therapy for her hot flashes. She wants to explore alternative approaches with her nurse coach. The client asks if a chart to help her keep track of her periods and see if they become irregular would be useful. Which one of the following is the most appropriate next step by the coach? Ask the client what she hopes to accomplish by using the chart and how it would be useful. Highlight the client's curiosity and inquire what information she is hoping to gain. Recommend that she follows her doctor's recommendations. Offer the client a list of alternative treatments and approaches to deal with perimenopause.
Highlight the client's curiosity and inquire what information she is hoping to gain.
Assessments allow coaches to explore prior and current knowledge as well as addressing current health status. Another critical outcome of exploring assessments is that they allow coaches to: Articulate a SMART goal Assess coaching partner needs and wants Identify gaps between current and desired state Define areas to focus on when developing a plan
Identify gaps between current and desired state
In a coaching session, the coaching partner states: "I want to stop smoking because I want to be a good role model to my kids." What kind of self-motivation statement is presented here? Problem Recognition Expressing Concern Intention to Change Optimism for Change
Intention to Change
Coach: So, the doctor wants you to go on medication to lower your cholesterol, but you do not want to. Why not?Coaching Partner: Well, I'm not particularly eager to put unnatural things into my body. I am not on medication at this point, and I do not want to have to start.Coach: Medication is not unnatural-there are many chemicals in all the foods that we eat. Which of the following alternative responses would be more effective than the last answer given by the coach? You would never take any medication. It's crucial for you to take care of your body, and you'd prefer to lower your cholesterol without medication at this point. Have you tried changing our eating habits and losing weight? Can I share some information with you? The medications for high cholesterol do a lot of good, and they don't have the adverse side effect that some drugs do.
It's crucial for you to take care of your body, and you'd prefer to lower your cholesterol without medication at this point.
A 50-year old female client sets a three-month goal of improved lipid profile panels. Her current labs indicate: Total cholesterol of 201 mg/dL LDL cholesterol level of 152 mg/dL HDL cholesterol level of 35 mg/dL Triglyceride level of 205 mg/dL Which of the following lab value level changes would represent an improved lipid profile? Lower total cholesterol, LDL cholesterol, and triglyceride levels and an increased HDL cholesterol level Lower total cholesterol, HDL cholesterol, and triglyceride levels and an increased LDL cholesterol level Higher total cholesterol, LDL cholesterol, and triglyceride levels and a lower HDL cholesterol level Lower total cholesterol, LDL cholesterol, and HDL cholesterol levels and an increased triglyceride level
Lower total cholesterol, LDL cholesterol, and triglyceride levels and an increased HDL cholesterol level
Precontemplation
Not thinking about adopting behavior change
A 50-year-old man with prostate cancer is interested in eating healthier and, specifically, consuming more plant-based meals. In developing an action plan, it is determined that the client will dedicate 30 minutes per day, five days a week, after work to cooking a plant-based dinner with his wife, who will help to keep him accountable. Although he mentions feeling tired after work as a potential barrier, the client states that a solution to this barrier will be to record the local news and watch it after dinner. Watching TV right after work decreases his motivation to cook. Which of the following is the most appropriate question to ask the client to support him in developing a complete action plan? I am curious, how do you think your dietary choices have affected your health? In reflecting back, what has your relationship with food been like over the years? On a scale of 0 to 10, what is your confidence level in completing this action plan? What do you foresee being the most significant challenge when it comes to cooking?
On a scale of 0 to 10, what is your confidence level in completing this action plan?
After his cardiologist refers you a 56-year-old patient who had a myocardial infarction. The doctor would like the client to stop his tobacco use. When asked on a scale of 1 to 10 how important it is to quit smoking, the patient responds with a score of 3 / 10. He says he "feels fine now" and mentions that smoking helps him relax after work. Based on the information provided, the man is in which of the following stages of change? precontemplation contemplation preparation action
Precontemplation
A coach asks: "What is good about eating fried foods every day?" This is an example of a statement that attempts to explore: Pros of eating fried foods Cons of eating fried foods Reevaluating the environment that influences the consumption of fried foods Self-liberating and exploring commitment to eating healthier
Pros of eating fried foods
Although every client and every coaching interaction is unique, some common challenges can happen in the coaching process. Please select the best options in these situations: Situation: Client may tend toward being overzealous and unrealistic. Approach: Carefully monitor goals to help clients keep them realistic. Situation: Client is slow to become motivated and does not make noticeable progress. Approach: Address readiness to change or motivational problems through AI and motivational interviewing (MI). Discover strengths, build self-efficacy, weigh the pros and cons of change, modify environmental conditions, try new strategies to overcome roadblocks, and reconfirm or find new motivators. Situation: Client is not making their change process a priority (might be manifested in excuses as well as missed and/or late appointments). Approach: Share your observations, express empathy, and inquire as to what could make their visions and goals a priority. Share with clients the value of taking small, incremental steps (e.g., how short bursts of exercise are beneficial).
Situation: Client may tend toward being overzealous and unrealistic. Approach: Carefully monitor goals to help clients keep them realistic. Situation: Client is slow to become motivated and does not make noticeable progress. Approach: Address readiness to change or motivational problems through AI and motivational interviewing (MI). Discover strengths, build self-efficacy, weigh the pros and cons of change, modify environmental conditions, try new strategies to overcome roadblocks, and reconfirm or find new motivators. Situation: Client is not making their change process a priority (might be manifested in excuses as well as missed and/or late appointments). Approach: Share your observations, express empathy, and inquire as to what could make their visions and goals a priority. Share with clients the value of taking small, incremental steps (e.g., how short bursts of exercise are beneficial).
Which statement is true concerning the evidence-based guidelines for biometrics? In the nutritional/diet assessment, it is important to assess for specific shortfall micronutrients. Perceived stress level does not need to be screened in every visit. The two-item exercise assessment is a valid measure for classifying inactive, insufficiently active, or sufficiently active levels of exercise. The Alcohol Use Disorders Identification Test-Concise (AUDIT-C) questionnaire is insufficient to screen for alcohol use disorder.
The two-item exercise assessment is a valid measure for classifying inactive, insufficiently active, or sufficiently active levels of exercise.
A ruined reflection is a statement meant to be a reflection; however, inflection at the end sounds like a question. For example, "So, you think you want to find ways to better communicate with your partner in front of the kids, right?" True False
True
Client: I know your book tells you that the symptoms mean "I shouldn't take my baby to the ER," but it's my kid, and I'm worried. Better safe than sorry! Coach: It is your choice-I wouldn't suggest otherwise. Your child is important to you, and you want to make the right decision. Would it be okay if we went over his symptoms again? Does the Coach's answer reflect the MI Spirit? True The coach supports autonomy, uses reflective listening, and asks permission to discuss further. False
True
Health assessments are valuable tools for health and wellness coaches as they provide snapshots into the past, present, and future. True Refer to Chapter 8 - How might you use assessments to help a coaching partner see what is possible in the future? False
True
Samantha was diagnosed with high blood pressure after her blood pressure measurement on two different occasions indicated: 148/80 mm Hg 130/95 mm Hg Was this diagnosis correctly made? True Refer to above-referenced lecture and slide 29 False
True
A 54-year male client is frustrated after completing the assessments. His BMI is 29.5. He states, "I am in good physical shape with a high muscle mass, but according to the assessment, I am almost obese." Which of the following is the best response by the health coach? Use reflection to demonstrate the coach hears his frustration. Reassure the client that BMI is just one measurement and is not always valid. Recommend body fat testing to assess weight status better. Check waist circumference to determine heart disease risk.
Use reflection to demonstrate the coach hears his frustration.
During a previous visit, a 49-year old coaching partner with cardiovascular disease developed an action plan to pack a lunch for work three days a week. In reviewing this action plan, the patient states that he has not been able to adhere to his schedule because his wife recently started a new job, and he is now in charge of getting the kids ready for school in the morning. He shares that there were a couple of days over the last month where he could pack a healthy lunch, which helped him feel more focused and energized at work. But he's just too busy to prepare food for himself, given his new household responsibilities. Which of the following is the best example of a double-sided reflection based on what the client has shared? It sounds like even though you try, you were able to follow through on the goal you set for yourself. You have many responsibilities that I'm making it challenging for you to follow through on your goal. You don't have time to pack a lunch, and when you eat healthy, you feel more energized during the workday. It might not be the right time to take on this particular goal. Is there something else you like to focus on?
You don't have time to pack a lunch, and when you eat healthy, you feel more energized during the workday.
Coaching partner: "I haven't been watching my diet all that much or checking my blood sugars, but I can tell when they get out of whack. I just got my labs, though, and my A1c has come down." Recognize the most effective affirmation stated by the coach. I'm happy that they have come down, but monitoring your blood sugars is really important. You must be doing some things well to manage your condition! Tell me about it! This answer affirms and evokes positive steps the coaching partner is taking rather than scolding. Let's talk about what happens when your blood sugars get out of range. That's good about your A1c, but sometimes it takes a while for your A1c to reflect when you are being bad.
You must be doing some things well to manage your condition! Tell me about it!
A 47-year-old woman has been working on what she calls "my perfectionist tendencies." During her 5th coaching session, she says: "I have been cooking many recipes. Some don't turn out as seen in the website pictures, but they still taste good. My family likes my food, and I feel more confident in my abilities to use my creativity in new ways. Today, I feel inspired to talk about using healthier substitutes in some of my old recipes." Which of the following is the most appropriate initial response by the coach? "You have made tremendous progress in your cooking goals; let's talk about alternatives that are frequently used in cooking." "I am certain that you can do anything! How confident are you that you can substitute ingredients in your cooking?" "Your cooking creativity is reaching new highs. What steps would you like to take to start substituting some ingredients?" "You have it in you! Your creativity is shining through. Would you like to explore a class on how to substitute ingredients in your cooking?
Your cooking creativity is reaching new highs. What steps would you like to take to start substituting some ingredients?"
The generative moment process includes eight primary stages, which include: Explores the strengths or values the client can leverage to move forward Engages the client in creative brainstorming of pathways forward Assigns the client the topic on which to work, where he or she has aroused emotional energy and interest. a & b are correct
a and b are correct
Coach: "You have made a great effort to control your eating habits. It sounds like you are getting some good results." What kind of Motivational Interviewing skill is used in this statement?
affirmation
Coach: "You have made a great effort to control your eating habits. It sounds like you are getting some good results." What kind of Motivational Interviewing skill is used in this statement? Affirmation Summary Amplified Reflection Shifted-Focus Reflection
affirmation
After a well-check visit, Bertha sees the coach at her primary care provider's office for a first coaching session. They review her wellness profile and her wellness vision questionnaires. In examining the assessments, the coach demonstrates open-mindedness and highlights all the positive aspects of the questionnaires. What skill is the coach showing? Affirming the client's being Helping the client to articulate values Reframing the conversation towards the positive Defining a path to move forward
affirming the client's wellbeing
Accountability means: monitoring and giving an account of what was done, what happened, what worked, what didn't work, and what one wants to do differently in the future. When reviewing goals, it is best to: Explore full experience with weekly goals, starting with the positive and using reflections to demonstrate listening and understanding of the goal experience. Respond to the client's challenges with judgment-free reflections and inquiries and ask what the client learned from his or her experience. Affirm the client's strengths, choices, and/or situation. All of the above
all of the above
In exploring the strengths or values the client can leverage to move forward, the coach can ask this/these question/s: What are the values reflected in how you handled this situation? What are the structures (people, places, things, tools, routines) that would enable you to succeed with this goal? How does this connect with your vision? All of the above
all of the above
When Appreciative Inquiry does not uncover the heart of the matter and elevates clients' readiness to move in the direction of their desires, Motivational Interviewing tools can be useful to help them understand and dislodge their "stuckness." What components of MI will help? Expressing empathy Developing discrepancy, using rulers to explore importance and confidence Rolling with resistance and supporting self-efficacy All of the above
all of the above
When reviewing goals, it is best to start by asking about the things that went well and the learned lessons. Great examples of inquiries for the review process include the following: Do you think this goal is too ambitious, too cautious, or just right? What challenges did you face along the way? What was your best experience with your goals in the past week? All of the above
all of the above
Erica, a 47-year-old woman, speaks with her telephonic coach for her sixth coaching session. Eight months after injuring her knee in a skiing accident, she has been working on improving her physical well-being. She has been thinking about returning to the gym to improve her strength and muscle tone. She wants to use the recumbent bike at least two times a week. Which of the following elements of this client's plan best aligns with a SMART goal? Biking at least two times a week Improving her strength and muscle tone Improving her physical well being Returning to the gym
biking at least two times a week
Coaching Partner: "I want to stop eating so much junk food for my health so that I won't get sick down the road."Coach: "Tell me more about what you imagine is possible for you 'down the road' that isn't now."Coaching Partner: "I have three grandchildren whom I love and with whom I want to be able to spend time."Coach: "One of the most important reasons for you to make a change is to be able to enjoy time with your grandchildren."Coaching Partner: "Yes. Another reason is that I want to stop eating junk food now. My children will not allow my grandchildren to come into my house because I have too much junk food and sodas around, and I want to be able to offer healthier options and play games with my grandchildren." Which Stage of Change is reflected in the coaching partner statement? Precontemplation Contemplation Preparation Action Maintenance
contemplation
According to Prochaska and his SOC model, there are 12 processes of change. Jeff, a 45-year-old with prediabetes, comes to see you for his 4th coaching session. He has been working on increasing his level of physical activity. He now appears to be moving from the contemplation to the preparation stage on his interest to control his Kit Kat consumption. They start a conversation about his habit of eating three (3) Kit Kats a day. Jeff states, "my wife fears that if I don't change my diet, my sugar levels will get worse." Jeff statement is consistent with the following process of change: Dramatic relief Consciousness-raising Counterconditioning Substituting healthy behaviors and thoughts for unhealthy behaviors and thoughts. Reinforcement management Environmental reevaluation
counterconditioning
Early in the coaching process, the Health and Wellness Coach supporting a client in creating an "organized mind" would likely begin with Designing a wellness vision Identification of sources of support for behavior change Optimization of emotional states to support learning Goal setting
designing a wellness vision
Coaching Partner: I am not sure that this is what I want to do. I'm just not excited about the thought of going on medication. Coach: We've been through this already. Your numbers are high, and this medication is the best option for you. Does the coach's answer reflect the MI Spirit? True False
false
Coaching Partner: I've tried a lot of fad diets, and none of them worked. I would lose weight and then gain it back. I guess I lack the willpower to stick it out. Coach: Many of my clients that have been successful in weight loss joined a support group. Have you ever thought about joining something like Weight Watchers? Does the Coach's answer reflect the MI Spirit? True
false
John was diagnosed with hyperlipidemia after his fasting blood sugar levels indicated that his total cholesterol was >150 mg/dL and his HDL was >50 mg/dL. Was this diagnostic correct?
false
In coaching, generative moments occur when a client is considering a change or is already changing. It can also happen at any point during the coaching session. What are some attractive emotional indicators of generative moments? worry, fear, boredom, anxiety rigid or lose commitment focus, contentment, eustress, mindful self-sabotage and support
focus, contentment, eustress, mindful
During an initial visit, a 68-year-old coaching partner with osteoarthritis express interest and increasing her physical activity through a pool-based workout. She is very motivated to make this change and has even started researching water fitness classes in her area. She scores a 9 out of 10 in confidence in making the change. Which of the following is the best example of a well-defined SMART goal to guide the client's personalized action plan for the next month? Attend water fitness classes in the morning to decrease joint pain and stiffness. Attend a 45-minute class at the local community center to improve health and fitness. Attend a 45-minute water fitness class twice per week at a local community center. Attend classes at the local community center most days of the week.
not Attend water fitness classes in the morning to decrease joint pain and stiffness.
Sarah is a registered dietitian who is seeing a patient referred by a physician. The patient says, "I just don't plan to quit drinking anytime soon." Sarah responds using motivational interviewing skills and says, "You don't think that abstinence would work for you at this time." This is an example of: a simple reflection an amplified reflection a double-sided reflection shifting focus
simple reflection
Let me see if I have a complete picture of where you are with smoking. It is a way for you to relax. You recognize that there is some risk, especially seeing your father go through some tobacco use complications. Most of all, you said this several times that you couldn't imagine how you can change it as it would create a big void that you are not sure how to deal with it. What kind of response is demonstrated by this coach? Simple reflection Amplified Reflection Double-Sided Reflection Shifted-Focus Reflection Summary Statement
summary statement
contemplation
thinking about changing within 6 months
action
this stage is the busiest and requires energy and commitment
Brainstorm is a rapid generation of possibilities and ideas; a good range is 5-7 ideas. True False
true
In goal design, a generative moment engages the client in creative brainstorming of pathways forward. True False
true
One of the most important things to do when reviewing an assessment is to seek out successes and highlight the positive. True Falseq
true
Samantha was diagnosed with high blood pressure after her blood pressure measurement on two different occasions indicated: 148/80 mm Hg 130/95 mm Hg Was this diagnosis correctly made? True Refer to above-referenced lecture and slide 29 False
true
The Spirit of MI has Four Key Interrelated Elements. You will see how these elements are key to the coaching relationship. These elements are PACE: Partnership Acceptance Compassion Evocation True False
true
The coach supports the client in carefully choosing goals and action steps since small, gradual successes predict long-term engagement. The coach recognizes the client's readiness to change and supports the client in designing appropriate action steps that move the client toward self-determined goals. True False
true
