CDR Practice Test – Complete Dietitian Exam Prep

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In a motivational interviewing scenario, which response best exemplifies the principle of "rolling with resistance"?

"You don't like this idea."

The response that best exemplifies the principle of "rolling with resistance" is one that acknowledges the client's feelings and perspectives without challenging or confronting them directly. By stating, "You don't like this idea," the responder validates the client's experience and opens the door for further exploration of their feelings or concerns. This approach allows for a collaborative dialogue where the client feels heard and understood, which can build rapport and make them more receptive to discussing potential changes or options.

In motivational interviewing, rolling with resistance means to go along with the client's expressed thoughts and feelings, rather than pushing back or attempting to persuade them. Acknowledging resistance rather than confronting it creates a more supportive environment that encourages clients to share more about their motivations and ambivalence.

Other responses do not align as closely with this principle. Suggestions about trying different vegetables tend to direct the conversation toward solutions rather than exploring the client's feelings about the change. This may inadvertently dismiss the client's resistance. By contrast, validating the client's emotions as seen in the correct response fosters a collaborative atmosphere, which is essential in motivational interviewing.

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"You might try fresh spinach instead."

"Maybe you can try other kinds of green leafy vegetables."

"You've been talking about making changes, so I'm thinking this is a simple change for you."

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