In motivational interviewing, how is client autonomy respected?

• A. By directing the client toward a plan
• B. By limiting choices to a pre-approved path
• C. By imposing a deadline
• D. By supporting clients’ ability to choose actions and decisions

Answer: (D)

In motivational interviewing, respect for autonomy means treating the client as the decision-maker and supporting their right to choose. The practitioner works collaboratively, evokes the client’s own motivations, and offers options while letting the client decide which action to take. This avoids directing or imposing a plan and keeps the focus on the client’s values and readiness. When clients choose their own next steps, motivation tends to come from within and be more durable, with less resistance. So, autonomy is honored by supporting clients’ ability to choose actions and decisions.