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Which of the following is not a measure of a client's motivation?

  1. The level of discomfort

  2. The level of hope

  3. Ego strength

  4. The ability to see themselves as able to change

The correct answer is: Ego strength

Ego strength, while related to personality traits and resilience, does not directly measure a client's motivation in the context of clinical practice. Motivation is often assessed through factors that indicate a client's readiness and desire to engage in change, which are more clearly represented by the other options. The level of discomfort reflects how much the client is struggling with their current situation and can drive them toward seeking change. The level of hope is crucial as it signifies the client's belief in their capacity to achieve their goals. The ability to see themselves as able to change indicates their perception of change as attainable, which is a critical motivational factor. In contrast, ego strength pertains to the individual’s overall psychological resilience and capacity to cope with challenges, but it does not inherently indicate motivation for change.