MI Pre/Postest Questions Page 1 of 4

Pre/Posttest Questions for MI Portion of ABY Training

  1. Which one of these is NOT a value of motivational interviewing?
  2. Free choice
  3. Collaborating together
  4. Bringing forth strength for change
  5. Giving information
  1. What's happening in this conversation that should not happen in MI (if anything)?

Pastor: So do you feel that husbands should be faithful to their wives?

Person: Yes.

Pastor: And do you feel that wives should be faithful to their husbands?

Person: Yes, of course, I do.

Pastor: Have you been faithful to your spouse?

Person: Usually.

  1. The pastor is asking questions that are too sensitive.
  2. The pastor is not asking open questions.
  3. Nothing is wrong. This conversation is a good example of MI.
  4. The pastor is focusing on too many different things.
  1. What does the acronym OARS stand for?
  2. Old ideas, Add new ones, Return to values, Stop arguing
  3. Open questions, Affirmation, Reflective listening, Summarizing
  4. Open questions, Add information, Reflective listening, Summarizing
  5. Open questions, Affirmation, Reflective listening, Share information
  1. What is happening in this conversation that should not happen in MI?

Youth group leader: It is obvious to me that you are really putting yourself at risk for HIV by behaving like this.

Person: What do you mean?

Youth group leader: Well, you have already had a sexually transmitted infection, and you are still having sex with many different people, and no condoms!

Person: It really isn’t that serious.

Youth group leader: Not serious… What if you got HIV? You would not be able to work. What would your family do? They rely on your income.

Person: But I feel healthy. I had my test and it was negative. I don’t have HIV.

  1. The youth group leader is lecturing and arguing for a particular point of view.
  2. The youth group leader is not promoting abstinence to this person.
  3. The youth group leader is not affirming enough.
  4. Nothing is wrong. This conversation is a good example of MI.
  1. One of the four main principles of MI is "Develop Difference (discrepancy)." What does this mean? (Write a short answer below.)
  1. What's happening in this conversation that should not happen in MI?

Imani: I just don’t know what to do. What if my husband has been unfaithful? What if he has put me at risk for HIV?

Afiya (Counselor): You must first go to the clinic for an HIV test right away. That is the best way to find out if you have HIV.

Imani: So I have to go for an HIV test. How will I explain that to my husband?

  1. Afiya has given factually incorrect information to Imani concerning HIV testing.
  2. Nothing is wrong. This conversation is a good example of MI.
  3. Afiya is telling Imani what she should do before exploring Imani's own ideas about change.
  4. Afiya is not giving Imani enough information about HIV testing.
  1. Which of these is NOT one of the four principles of motivational interviewing?
  1. Roll with resistance
  2. Repeat key messages
  3. Develop difference (discrepancy)
  4. Support self-efficacy
  1. Name TWO things that you should assess early in the MI process.
  1. Name TWO of the three kinds of reflective listening in motivational interviewing.
  1. Which one of these is NOT a method of rolling with resistance?
  1. Coming alongside
  2. Emphasizing personal control
  3. Reframing
  4. Telling the person what they should do
  1. What is happening in this conversation that should not happen in MI?

Imani: I want to approach my husband about this issue, but I just don’t think I can do it. He will be angry with me.

Afiya: Why don’t we just invite him to discuss this with us? I’ll be here and I can help you bring it up.

Imani: Yes, but, what happens when you leave?

  1. Nothing is wrong. This conversation is a good example of MI.
  2. Afiya should not have offered to invite Imani's husband - this conversation between Imani and her husband should be private.
  3. Afiya is not urging Imani to accept her advice.
  4. Afiya has prescribed a solution without asking permission to give advice.
  1. Which one of these is NOT a type of change talk?
  1. Expressing optimism about changing behavior
  2. Eagerness to end the conversation
  3. Describing disadvantages of the current behavior
  4. Describing advantages of change behavior
  1. What is happening in this conversation that should not happen in MI?

Imani: What can I do now?

Afiya (Counselor): What do you think you should do?

Imani: I've thought about it, but I have no idea. How could I begin this conversation?

Afiya: What are your ideas?

  1. Nothing is wrong. This conversation is a good example of MI.
  2. Afiya is not building up Imani's confidence.
  3. Afiya is not offering any information, even though Imani is asking for information.
  4. Afiya's is not reflecting Imani's concern.
  1. Which one of these is NOT one of the steps in creating a plan for change?
  1. Set goals
  2. Ask a key question
  3. Elicit commitment to the plan
  4. Establish rapport
  1. Imagine you are Raina. How would you respond using MI? Type your response below.

Raina: So where does all of this leave you?

Sophie: I don’t think I can go on like this. It’s just too risky. I care too much about my future to take a chance of getting AIDS.

Raina: [What would you say?]

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MI Pre/Postest Questions Page 1 of 4

Answers to the Final Quiz

When grading the participants’ answers to short-answer questions asking “What would you say?”, keep in mind that their answers do not need to reflect exactly those in the answer key. Answers to short-answer questions are correct as long as they are logical, reflect the values and principles of MI, and demonstrate effective use of MI skills.

  1. d
  2. b
  3. b
  4. a
  5. Develop Difference means that you help the person discover any discrepancy between their current behavior and their goals or values in life.
  6. c
  7. b
  8. Self-efficacy (about making the change) and importance of the change. (For example, for abstinence, it would be the degree to which the person thinks they can be abstinent, and the importance to them of being abstinent.)
  1. Participants could name any two of these: simple reflections, amplified reflections, double-sided reflections
  2. d
  3. d
  4. b
  5. c
  6. d
  7. Sophie says she wants to change. But how? Raina needs to find out what Sophie is thinking about doing. The best way to do this is to ask her!
    Example: What do you want to do?
    Example: Going on like this is too risky, and your future is very important to you. So how will you protect yourself from getting AIDS?

Developed by Food for the Hungry. For additional information, contact .