Music Therapy - CBMT practice exam #1

A patient exhibits distracted, unfocused behaviors during a final session. To BEST meet the clients immediate needs prior to discharge, the therapist should focus on the clients

A 10-year-old music therapy client with Oppositional Defiant Disorder (ODD) has met all music goals, and the music therapist presents his discharge summary at her agency's weekly staffing. In other therapists, the client has made very little progress and remains defiant and resistive. The music therapist should

When completing a behavioral assessment, information relating ONLY to behaviors observed, not interpretation, is considered

A music therapist has completed an assessment on a patient who has Parkinson's disease. The patient was referred for treatment of dysarthria. When planning a music therapy treatment program, the therapist should focus on

A school music teacher refers an 8-year-old boy to the school's music therapist because he is "uncooperative and unfocused," "disruptive during class," and "always wanting to play things his own way." The music therapist should FIRST

Which of the following music experiences BEST promotes spatial awareness for a group of adults which developmental disabilities?

A music therapist is assigned to conduct an initial assessment for a 12 year old who is blind and walks with a cane. Which of the following rooms would BEST enable the therapist to conduct a comprehensive assessment for this clients?

An objective reads: "Within 6 weeks, the client will demonstrate on-task behavior by playing the drum for 2 consecutive minutes in three of four trials." Which of the following data collection procedures will BEST document the clients progress toward this objective?

A music therapist is facilitating group cooperation and decision making by using songwriting. A group member with low self-esteem often provides entire verses of lyrics which ignoring other members' suggestions. To facilitate the group goals, the therapist should

A music therapist with basic guitar skills wants to accompany a song written in the key of Ab major, using Ab, Db, and Eb7 chords. To allow for the use of all first position chords and only minimally affect the songs vocal register, the song should be transposed to the key of

A teenage client diagnosed with a conduct disorder was referred to music therapy for anger management. During assessment, the client is angry about being required to attend music therapy and states he likes gangsta rap. The music therapist is not familiar with gangsta rap, but dislikes rap music. The BEST action for the therapist is to

An individual has the following duster of symptoms:
- failure to develop peer relationships appropriate to developmental level.
- apparently inflexible adherence to specific, nonfunctional routines or rituals.
- general delay in language
- delay in cognitive development or in the development of age appropriate self-help skills, adaptive behavior, or curiosity about the environment in childhood.
Which of the following is the specific diagnostic label?

When working to sustain the attention of a child during a medical procedure, the MOST important attribute of the music to consider is

A 14-year-old boy is referred to an outpatient music therapy group. The group is learning to play a 12-bar blues pattern using guitars, keyboards, and drums. The clients records indicate low self-esteem and difficulty processing auditory information. To engage the client quickly in the group, the therapist should

A 13-year-old client with autism is brought to his initial music therapy session. According to his record, he shows tactile defensiveness and has limited verbal ability. On entering the room, he walks around its perimeter looking at his hand as he runs it along the wall. In the room, there is a piano, a drum, and a xylophone. Which of the following is the BEST initial approach to working with his client?

A song on the guitar in the key of C needs to be transposed to the key of Eb. Using first position fingering in the key of C, the therapist needs to place the capo on the

A physical therapy department is developing a wellness exercise program. The physical therapists ask the music therapist to assist them in selecting music for use during exercises. To represent the BEST collaborative effort, the music therapist should

At the conclusion of treatment, the music therapist should document all of the following EXCEPT the

A music therapist has recently started to work in a forensic setting. The music therapist was given very clear instructions concerning safety of the clients no instruments can be brought onto the unit, including guitar, keyboard, and percussion instruments. Which of the following is the BEST action for the therapist to take?

For several months, a music therapist has conducted weekly sessions with a 45-year-old woman in outpatient oncology. They have been compiling a musical CD for her three young children as a legacy. Prior to completion of the CD, the patient is suddenly discharged to hospice. The music therapist should

Which of the following statements made by a music therapist is subjective?

A music therapy production is planned for presentation to clients, staff, and guests at an institution. The music therapist is asked to design a printed program providing recognition to the participating clients. The therapist must

While working with a child, the music therapist raises her eyebrows when the child reaches for a mallet, which is an off-task behavior. The child immediately pulls her hand away. The therapist has

A client in a residential facility is absent from a regularly scheduled music therapy group. After the music therapist investigates the reason for the client's absence, the NEXT step is to

A music therapist has been hired by a facility to establish a new music therapy program. Which of the following would be the MOST effective way to seek referrals?

During an initial music therapy assessment of an individual who is comatose, the presentation of loud and abrupt auditory stimuli is use to assess

In order to target the goal of increasing reality orientation in a client with a diagnosis of a major dissociative disorder, a music therapist should use which of the following techniques?
1. improvisation
2. guided imagery
3. song-writing
4. singing

A music therapy intern is considering referring a client to her clinical supervisor because the client demonstrates behaviors reminiscent of the intern's own domineering older sister. The client's behaviors are eliciting reactions in the intern that are reflective of her own relationship with her sister. In order to assist the intern's professional development, the clinical supervisor should suggest that

Confidential information from a music therapy assessment and treatment plan may be revealed under all of the following circumstances EXCEPT

Musical assessment of executive functions in a patient with a traumatic brain injury (TBI) can BEST be achieved by

During a music therapy assessment, a client with late-stage dementia changed her facial expression several times, hummed parts of a familiar melody, made eye contact with the therapist, and attempted to play a hand drum. She was unresponsive to other stimuli in the environment. Which of the following would be the BEST treatment recommendation for this client?

In an educational setting, all of the following are sources for assessment data EXCEPT

The music therapist does not agree with a treatment team decision regarding client treatment. Which of the following is the BEST action for the therapist to take?

A client with dysphasia should be referred to which of the following professionals?

During a music therapy session, a 52-year-old inpatient describes his plans to kill his ex-wife. The music therapist should

When conducting research, a music therapist should do which of the following?

A music therapist wishes to obtain assessment data on a school age girl who is in foster care. The child has been recommended for music therapy services in her home. The music therapist should use which of the following resources?
1. reports from her primary teacher
2. questionnaire completed by a foster parent
3. interview with the biological mother
4. observation of the child in the home environment

Which of the following is a language disorder which affects the ability of a patient with a cerebrovascular accident (CVA) to accurately relay information during an initial music therapy assessment?

A music therapist is playing a CD with lively music that contains a driving beat. A young client who has never been known by the therapist to have a seizure experiences one during this intervention. Which of the following is the BEST course of action for the music therapist in response to this occurrence?

When an initial referral is received for a music therapy assessment in a hospital setting, what intake information about the patient should the music therapist obtain FIRST?

A client has recently been admitted to a psychiatric facility with a diagnosis of bipolar disorder. The client comes to a group music therapy session exhibiting sleepiness and sluggish demeanor. Which of the following MOST likely accounts for this presentation?
1. side effects of newly prescribed medication
2. symptoms of depression
3. symptoms of mania
4. symptoms of anxiety

Which of the following chord diagrams represents a I, IV, V7 chord progression on the guitar in the key of C ?

While completing an assessment on a patient who is 10-days post stroke, the music therapist interviews the spouse to get more information. The spouse reports that the patient does not enjoy music and is not a good candidate for music therapy. The music therapist should

When practicing "universal precautions," a music therapist should

The MOST discriminating musical experience to assess a client's fine motor skills would be to ask the client to

Which of the following must a music therapist following best practice adhere to?
1. Stay informed about current research evidence for clinical treatment.
2. Stay current with regulations related to reimbursements for treatment.
3. Assure that the best line of musical instruments is available to the facility.
4. Include functional non-musical behaviors in assessment and documentation.

Which of the following is the MOST structured group songwriting experience?

A music therapist engages a client in a stress-relieving exercise that involves tensing and relaxing various parts of the body while listening to client-preferred sedative music. This technique is known as

Which of the following is the BEST way to assess a client's rhythmic stability?

Under HIPAA Privacy Rules, the music therapist must remove which of the following types of data when "de-identifying" client information?
1. the client's street address
2. the client's social security number
3. the client's state of residence
4. the client's email address

A music therapist is working to increase a patient's vital lung capacity. This goal would MOST commonly be addressed in which of the following conditions?

A music therapist utilizing the behavioral model or approach might utilize which of the following techniques?

Which of the following statement reports objective information about a client?

Which of the following can be used to assess a client's kinesthetic perceptual abilities?

A music therapist is working with an individual who is moderately affected by a traumatic brain injury (TBI). Which of the following experiences would require the highest level of executive functioning for this client?

Before and after a music therapy session for pain management, the music therapist collects the following data from a 10-point scale for two clients:

Client 1 Client 2
Pre-treatment 9 8
Post-treatment 7 5

After the session, which of the following is the MOST accurate conclusion the music therapist should draw?

An adult with dementia screams and hits when a nursing assistant attempts to help her to the shower. Since the nursing staff know that the client responds positively in music therapy, the music therapist is asked to assist. Which of the following is the MOST useful type of music for this situation?

A music therapist is working with a 30-year-old client in a psychiatric facility. The client's mother is developing dementia. She is distressed by family responsibilities because, as the oldest daughter, she is expected to put the needs of her aging mother ahead of her own needs and those of her husband and children. Placement of the client's mother in a nursing home is viewed negatively because of cultural expectations. What is the music therapist's BEST course of action to assist this client?

In a standard 12-bar blues form, the chord in the ninth measure is the

The music therapist is working with a group of adult inpatients with psychiatric disorders. The group has epxressed feelings of guilt and hopelessness and are exploring these feelings in the music therapist setting. Which of the following techniques are MOST appropriate for a music therpaist working from a cognitive approach?
1. lyric analysis
2. imagery and music
3. relaxation and music
4. song-writing

A facility administrator sees the benefits of the music therapy day treatment program for psychiatric outpatients and requests that these services be offered to the psychiatric inpatients. Which of the following should the music therapist do in order to provide a safe environment for the inpatients?

When a client reaches some of his goals in less time than expected, the music therapist should

Which of the following responsibilities does the music therapist have to the client during the treatment evaluation?
1. analysis of all available data to determine the effectiveness of therapy.
2. reliance on anecdotal information from non-music therapy professionals.
3. communication with the client, client's family, caregivers, or personal network.
4. recommendations and referrals as indicated.

A music therapist in a hospital is asked to see a 39-year-old man who has recently suffered a severe brain injury and is in a great deal of pain. During the assessment, the patient becomes increasingly agitated and complains that his pain has intensified. The music therapist should

Which of the following should the music therapist do to elicit participation during a drumming experience in a nursing home?

Which of the following is the MOST pressing need for a client when the music therapist is terminating therapy because of a move to another city?

A music therapist in an adult day care center is leading a large group instrumental improvisation. The group contains clients with a wide range of cognitive impairments. Which of the following is the BEST approach to engage clients in a structured improvisation?

What is a programmatic consideration to be addressed during the initial treatment planning phases?

The task of having children clap their hands to a rhythmic stimulus could be BEST used to assess

A music therapist working with a group of nine children at an early intervention facility arrives to find the class is very excited, having just come in from the playground. Which of the following is the MOST important consideration when choosing a music selection to begin the session?

A music therapist is accompanying a group of clients with schizophrenia who are on an acute unit. The group is playing non pitched percussion instruments to a popular song. To provide structure for the group, it is MOST important that the therapist

A music therapist working in a women's shelter is asked to see a client who has expressed an interest in music. The therapist is provided with little background information. At their first meeting, the therapist notices that the woman's face and arms are covered with bruises. When the woman begins to sing about how happy and in love she is, the music therapist's BEST course of action would be to

Over the course of three months, a music therapist group for people with Parkinson's disease has completed the treatment plan objective with 40% accuracy during the first month, 75% accuracy during the second month, and 90% accuracy during the third month. Which of the following is the BEST treatment plan option for the next month?

While improvising with a client, the music therapist introduces new rhythmic and melodic motives with changes in meter and key. The therapist is MOST likely attempting to

A music therapist working with a child with a pervasive developmental disorder is being reimbursed by the parents medical insurance company. The company has requested an update on the child's progress to determine if they will continue to pay for music therapy services. Which of the following is the BEST documentation the music therapist can provide the insurance company in this situation?

An 18-year-old client who functions on the low end of the autism spectrum will be moving into a group home in another town after living with his family his entire life. He has been receiving music therapy services for 15 years but will no longer receive music therapy in his new setting. To help the client express his feelings about the upcoming move and the termination of his music therapy services, the music therapist should

Which of the following diatonic chord progressions BEST fits this melody?

Soprano, C, 4/4 s|m' - - r' d' t | l - - t d' r' | r' - - d' t l | s - - - ||

During a music therapy session, a client asks the therapist why "God afflicted her with terminal cancer." Which of the following is the therapist's MOST appropriate immediate response?

A music therapist is using ballroom dancing to facilitate intimacy in a relationship between a client, who has dementia, and his wife. During a session, the client's favorite big-band music is played, but he refused to stand up and dance with his wife. The BEST intervention would be to recommend that the wife

A music therapist is improvising in the key of G major. Which of the following secondary dominant-seventh chords should be chosen for the MOST direct transition to the new key of D major?

Photography and video during music therapy sessions with competent adults are acceptable

An ego defense mechanism in which an individual attributes desires and impulses to others is

A music therapist in a public school is about to conduct an initial assessment for a 5-year-old boy with ADHD. The assessment is scheduled to take place in the boy's classroom. To facilitate the child's engagement MOST effectively, the music therapist should

A new music therapist with specialized training moves into a community which has only three therapists, each of whom has a large waiting list. These music therapists are only available to provide services on a weekly basis, but many of the clients would like to receive services more than once a week. After the new music therapist runs an advertisement in the local newspaper about opening his private clinic, several of these clients contact him about services. The new music therapist should

A music therapist is seeing a bereaved 3-year-old child whose other recently died. The child is afraid to go to sleep at night and repeatedly asks questions. She frequently states, "I killed mommy." The child is MOST likely demonstrating

When a music therapist is consulting with a client's family or significant others in the treatment planning process, it is appropriate to do all of the following EXCEPT

A music therapist is conducting a group of clients playing a I-IV-V chordal accompaniment on tone bars. The music therapist arranges the clients in three groups, one for each chord. Which of the following is the MOST important conducting gesture?

A music therapist is working with a group of adolescents in an inpatient psychiatric treatment facility. The music therapist wants to engage a new group member who has a flat affect, is looking out the window, is sitting away from the others, and is not answering questions from group members or the therapist. The music therapist should

A premature infant is in the neonatal intensive care unit with multiple developmental complications and failure to thrive. Music therapy is being considered as a possible treatment. To structure an appropriate assessment, which of the following is the MOST important piece of information for the therapist to keep in mind?

A music therapist working with an inmate convicted of homicide asks to read the hospital report from the inmate's recent hospitalization secondary to a suicide attempt. The music therapist may read the reports written by the psychiatrist, psychologist, social worker, and occupational therapists from the hospital if

During a music therapy session, clients hospitalized for chemical dependency express mixed emotions concerning the recent suicide of a former group member. To facilitate the grieving process, the music therapist should FIRST

In a cardiac rehabilitation program for patients who have hand open heart surgery, a music therapist leads a weekly music therapy session immediately after the patient's exercises session. To BEST help the patient's learn to generalize stress management skills, the music therapist should

A 17 year old is demonstrating a sudden decline in grades, increased unexcused absences, and inability to concentrate when in school. Facial affect has changed from friendly to flat. When approached, the student states he is fine. The only thing that seems to provide interest is music. To assess possible causes of this behavior, the music therapist should FIRST

A music therapist working with a group of clients who are depressed has chosen a songwriting experience. To establish trust within the group, the therapist should

The MOST likely goal of music therapy experiences, in which clients evaluate their own music performances, is to increase

When selecting a music intervention for a client, the MOST important thing to take under consideration is

When preparing a hospital patient for termination of music therapy treatment, it is always necessary to

A group of clients would like to perform a Latin-American piece at a talent show at school. They have been improving a 3-2 rhythm with a variety of percussive instruments. Which of the following rhythmic patterns would provide the strongest accompaniment?

In order to stay current with information on autism and best practices, the MOST reliable resource is

A client who is a resident in a nursing home is very withdrawn and appears to be out of touch with what is happening around her much of the time. The music therapist is attempting to assess her musical responses by playing and singing songs from a variety of popular styles and eras. Which of the following client responses MOST actively indicates her familiarity with a given style of music?

In a score, if a Bb trumpet is notated in the key of E, the piano is played in the key of

When accompanying a client, which of the following provides the BEST structure?

A music therapist has observed a colleague falsifying continuing education documents. The therapist should FIRST

A music therapist is working with a client with athetoid cerebral palsy who expresses an interest in playing the cymbals, but who is unable to grasp a standard mallet. Which of the following professionals would the music therapist MOST likely consult for assistance with adapting the mallet?

In order to ensure the safety of the patient during ambulation, the BEST person for the music therapist to consult is the

The BEST way to evaluate the potential of a treatment plan to meet a client's needs is to

When using the iso-principle with a child exhibiting hyperactive behaviors, which of the following is the BEST tempo to use when beginning a music therapy session?

A music therapist should refer clients to other professionals based on

During a gait training session with music therapy, a patient with a traumatic brain injury (TBI) is having difficultly walking to the beat of the music. To correct this problem, the music therapist should FIRST

A music therapist has recently started a new job working with inner-city at-risk adolescents at a community center. To help adolescents identify and express their emotions, she introduces song-writing activities. Though the therapist has a strong background in jazz and classical music, she notices that the clients criticize her accompaniments. To BEST meet the client's needs, the therpaist should

A music therapist is working with a process-oriented group of adults. The clients are playing keyboard, bass, guitar, and drums. The group stops playing because the drummer is intentionally playing faster than the other clients can play. The music therapist should FIRST

A music therapist in an outpatient clinic leads a group of four adult clients with mental health issues such as schizophrenia and mood disorders. Each session includes instrumental improvisation with a opportunity for verbal processing afterwards. In one session the music begins softly, out of tempo, and gradually becomes more rhythmic and dissonant. The intensity of the music builds as both the tempo and volume increase, with everyone joining in, and gradually dies down before coming to and end. Afterwards, client A says the music was frightening. Client B states she had an image of being on the beach, listening to the waves. Client C comments that the music made him feel anxious. Client D says she found the music peaceful and calming. The BEST conclusion that the music therapist can draw from this discussion is that

A nurse has referred the mother of a six-year-old patient on the acute burn unit for music therapy services. According to the referral, the mother has withdrawn from her child and demonstrates apprehension when encouraged to interact with her. The BEST way for the music therapist to assess the current level of mother-child interaction would be through

A developmental disorder in which there is a defect in the bony covering of the spinal cord that sometimes results in protrusion of the cord and meninges is called

A new music therapist is uncertain as to the clinical implications of music behaviors observed in a group setting. The BEST approach to understanding the nature of theses behaviors is to

What type of scale on the keyboard uses only black keys?

Termination of music therapy treatment is appropriate when the

Which of the following types of recording procedure is being employed when a music therapist uses a stopwatch to time how long a child marches to music.

During a session on an adolescent psychiatric unit one of the clients plays his guitar to preferred music continuously, not allowing the other clients to suggest song. Another client, playing electric keyboard, turns up the volume of his instrument and begins to play different songs. The guitar player reacts by playing his instrument louder and faster. The music therapist should

A 52-year-old woman hospitalized for ovarian cancer requests music therapy to help her relax and sleep. During the initial session conducted at bedtime. the patient shares her fears and life story before the use of any music intervention. After validating the patient's feelings, the BEST direction for the music therapist to take is to

Which of the following examples illustrate professional development?

In a residential facility, which of the following is the MOST reliable method for determining whether a client's progress has generalized?

A music therapist is assisting a terminally ill client who is preparing for his impending death. The BEST choice of music for the patient's final hours is music that has been

An adult with severe, chronic asthma receives individual music therapy in an outpatient rehabilitation clinic. Treatment goals include increasing breath support and developing intercostal muscle strength to improve voice quality. When selecting song material, which is the following is the MOST crucial aspect to consider?

A music therapist is working with a stroke patient who demonstrates left neglect and diffciculty crossing mid-line. In order to address both needs through instrumental playing, the therapist should position a drum

A client is referred to music therapy to increase on-task behavior and to encourage social interaction. After three months of weekly sessions, the client has not met the on-task objective, but social interaction has improved. The music therapist's BEST response would be to

A client who only knows guitar chords in first position wants to learn a song with the tablature for the following chords: E, B7, A, c#, and f#. Which of the following transpositions BEST ensures successful playing of the song?

A 7-year-old girl with a severe developmental disability is receiving music therapy in a residential setting. She is nonverbal and prone to be fearful and anxious in new situations. When brought into the therapy room for her first session, she actively resists and begins to cry. The music therapist, working in an improvisational model, might do which of the following?
1. Meet the child by playing music to express the intensity of her crying.
2. Reflect the child's sound and breathing with careful musical phrasing.
3. Comfort the child by holding and rocking her while singing soothing lyrics.
4. Sing without words so the child hears another voice that corresponds to how she is feeling.

A music therapist is working in a choral ensemble with a group of adults who have developmental disabilities. The groups long-term goal is to perform in the community. Which of the following will MOST likely affect the groups success?

During initial assessment, a patient answers questions about her spirituality and states, "I am very spiritual and religious." How should the music therapist interpret this information?