Certified Travel Counselor (CTC) Practice Exam

Which statement BEST demonstrates a motivational interviewing approach by a personal trainer with a new client?

1. "What steps do you feel would be best to take to improve your health?"

2. "How much weight would you like to lose?"

3. "Why have you not been able to stick to an exercise program before?"

4. "Why do you think your physician wants you to begin exercising?"

The correct answer is: "What steps do you feel would be best to take to improve your health?"

The statement that best demonstrates a motivational interviewing approach is "What steps do you feel would be best to take to improve your health?" This question effectively aligns with the core principles of motivational interviewing, which focuses on engaging the client in a collaborative conversation about their motivations and aspirations. Motivational interviewing is characterized by a client-centered communication style aimed at eliciting and strengthening motivation for change. By asking about the steps the client feels are best for improving their health, the personal trainer is encouraging the client to express their thoughts and ideas, thereby fostering a sense of autonomy and personal involvement in the process. This empowers the client to take ownership of their health journey and makes them an active participant in the decision-making process. The other statements, while potentially relevant to the overall conversation, do not embody the principles of motivational interviewing as effectively. For instance, asking about weight loss focuses more on a specific goal rather than exploring the client's thought process. Inquiring about past failures in sticking to an exercise program might provoke defensiveness and does not encourage a constructive dialogue. Finally, questioning the client's understanding of their physician's recommendations could put them on the defensive or imply a lack of trust in their physician's advice, which does not foster a supportive environment.