A client who smokes says, "I know smoking is bad, but I am not ready to quit." Which response uses motivational interviewing?
1Why aren't you worried about the long-term effects of your smoking?
2What do you like about smoking, and what concerns do you have about it?✓ Correct answer
3Many people find it hard to stop, but the health benefits are worth it.
4I can give you resources about smoking risks when you decide to quit.
Explanation
Motivational interviewing explores ambivalence using open-ended questions, reflection, and respect for autonomy. Asking about perceived benefits and concerns invites discussion without judgment. Threats, dismissal, or unrealistic interventions are not therapeutic.
Clinical Judgment Behavior change starts with readiness and ambivalence, not pressure.
Memory Tip Ask, listen, reflect.
Clinical Practice GuideSmoking cessation counseling can include motivational interviewing, pharmacotherapy options, follow-up, and referral to quit resources.
CautionRespect for autonomy improves engagement.
Motivational Interviewing — A counseling approach that explores ambivalence and supports behavior change.
Ambivalence — Having mixed feelings about changing a behavior.
Autonomy — The person's right and capacity to make choices.