SBIRT - Module 4 Exam Questions and
Answers
S2BI - Answer-No Substance Use → Positive Reinforcement
No SUD Risk (once or twice) → Brief Advice
Mild/Moderate SUD Risk (monthly use) → Brief Intervention
Severe SUD Risk (weekly use) → Brief Motivational Intervention → Refer to Treatment
Motivational Interviewing (MI)
4 Communication Principles - Answer-ask Open-ended questions
provide personal Affirmations
listen & engage in Reflections
provide Summaries
(OARS)
Second set of MI strategies - Answer-Express Empathy
Explore Discrepancy
Roll with Resistance
Support Self Efficacy
3 Styles of Communication - Answer-- Following: we allow the patient to lead the
conversation, we passively follow their story
- Guiding: we explore health behaviors alongside the patient to support, encourage and
assist them
- Directing: we lead the conversation by telling info to the patient, this should be avoided
when conducting BI and MI
Communication techniques to avoid - Answer-"directive" style
- Ordering clients or patients to change
- Explaining why they should change
- Telling them how to change
- Emphasizing the importance of changing
4 steps of BI - Answer-1) Raise the Subject
2) Provide Feedback
3) Enhance Motivation
4) Negotiate Plan
Step 1: Raise the Subject
Answers
S2BI - Answer-No Substance Use → Positive Reinforcement
No SUD Risk (once or twice) → Brief Advice
Mild/Moderate SUD Risk (monthly use) → Brief Intervention
Severe SUD Risk (weekly use) → Brief Motivational Intervention → Refer to Treatment
Motivational Interviewing (MI)
4 Communication Principles - Answer-ask Open-ended questions
provide personal Affirmations
listen & engage in Reflections
provide Summaries
(OARS)
Second set of MI strategies - Answer-Express Empathy
Explore Discrepancy
Roll with Resistance
Support Self Efficacy
3 Styles of Communication - Answer-- Following: we allow the patient to lead the
conversation, we passively follow their story
- Guiding: we explore health behaviors alongside the patient to support, encourage and
assist them
- Directing: we lead the conversation by telling info to the patient, this should be avoided
when conducting BI and MI
Communication techniques to avoid - Answer-"directive" style
- Ordering clients or patients to change
- Explaining why they should change
- Telling them how to change
- Emphasizing the importance of changing
4 steps of BI - Answer-1) Raise the Subject
2) Provide Feedback
3) Enhance Motivation
4) Negotiate Plan
Step 1: Raise the Subject
