Motivational Enhancement with Dual Diagnosis Clients 

 

Multiple Choice 

Identify the choice that best completes the statement or answers the question. 

 

____ 1. Overview 

Those with chronic psychiatric conditions demonstrate particularly elevated rates of co-occurring substance 
use. 

A 

True 

B 

False 



 

____ 2. Motivational enhancement refers to a style of clinical interaction designed to engage what type of client in the 
treatment process? 

A 

Ambivalent 

C 

Both A and B 

B 

Resistant 

D 

Neither A nor B 



 

____ 3. Residential treatment programs have been shown to be the most effective long-term treatment programs for 
dually diagnosed clients. 

A 

True 

B 

False 



 

____ 4. Background for Motivational Enhancement Techniques 

Motivational Interviewing, a client-centered approach, was developed by: 

A 

Miller & Rollnick 

C 

Aaron Beck 

B 

Prochaska & DiClemente 

D 

Stanton Peele 



 

____ 5. Health-care providers are frequently in an “action-oriented” state of mind, while consumers entering 
treatment are frequently contemplating change. 

A 

True 

B 

False 



 

____ 6. Which of the following is not one of the four primary principles that motivational interviewing is based 
upon? 

A 

Develop discrepancy 

C 

Roll with Resistance 

B 

Express Empathy 

D 

Confrontation 



 

____ 7. Motivational Enhancement Therapy 

MET is a structured clinical intervention focused heavily on the first principle of Motivational Inteviewing-
Express Empathy. 

A 

True 

B 

False 



 

____ 8. MET as a stand-alone treatment is considered sufficient treatment for dually diagnosed consumers. 

A 

True 

B 

False 



 

____ 9. Clinical Guidelines 

During which MET session is the client presented with assessment results? 


A 

Feedback 

C 

Recapitulation and Change Plan 

B 

Values Clarification and Decisional 
Balance 



 

____ 10. Considerations and Limitations 

It may be the case that the efficacy of motivational enhancement is inversely related to cognitive deficit such 
that while useful and effective for mild to moderately disordered clients, ME may be less so for those with 
acute symptomalogy. 

A 

True 

B 

False 



 

____ 11. Research with dually diagnosed clients clearly shows that motivational techniques do, in fact, increase the 
number of treatment appointments attended. 

A 

True 

B 

False 



 

____ 12. Summary 

When treating substance abuse with which disordered population, is it important to make goals and general 
discussion relate to specifically concrete terms given the general cognitive limitations of these clients. 

A 

Schizophrenia 

C 

Post-Traumatic Stress Disorder 

B 

Bi-Polar 

D 

None of the above 



 

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