CBMT Practice Exam B

A music therapist would like to compare the outcomes from a client's music therapy sessions and physical therapy sessions. Which of the following is the BEST way to do this?

A music therapist is working with a client who is depressed and withdrawn. In an improvisational dyad, the music therapist gradually changes the tempo, range, and articulation, while reflecting and supporting any change in playing by the client. Which of the following is the music therapist MOST likely attempting to encourage?

A child with cerebral palsy who communicates non-verbally brings an electronic augmentative communication system to group music therapy. The BEST way to plan to accommodate this client's inclusion in a group singing experience is to

When playing a song for a group of clients, the music therapist is reminded of feelings of love for a romantic interest. The therapist should

A client with Autism Spectrum Disorder (ASD) claps to musical accompaniments, clapping when the music plays and stopping when the music stops. The music therapist uses these responses to assess which of the following areas of functioning?

Determining a client's musical background and skills is an important task during which phase of the music therapy plan?

A music therapist is working with a patient who has suffered a stroke on the left side of the brain and exhibits significant language comprehension issues. It is MOST effective to provide ongoing acknowledgement and reflection of the client's responses through

A music therapist works in a remote area where the field is not prominent and there are no other practicing music therapists. The music therapist is feeling isolated. Several clients at the hospital where he works are challenging, and he feels that he could really benefit from another person to "bounce ideas off of." Which of the following is the MOST effective way to address the music therapist's immediate need?

A child with Autism Spectrum Disorder (ASD) starts pacing during a music therapy session. Which of the following is the music therapist's MOST effective response to redirect the child?

A music therapist in a private school setting conducts a weekly social skills group for students with high-functioning Autism Spectrum Disorder (ASD). Goals include controlling impulses, turn-taking, and reciprocity. Data indicates three of the four students are making progress towards their goals, but one student expresses "music is stupid" and records indicate he participates less than 5% of the time. Which of the following is the music therapist's BEST action?

A music therapist is completing an initial assessment of an adult client in a hospital setting. The therapist reviews the patient chart beforehand to gather information about demographics, clinical history, and personal resources. During a brief interview with the patient, the therapist gathers information regarding cultural and spiritual background, family dynamics, and support systems. Which of the following additional information should the music therapist obtain that may affect the music therapy session with the client?

A music therapist is working with a group of young women with eating disorders. The goal is to verbalize thoughts and feelings. The music therapist wants to lead a group vocal improvisation, but the women find it difficult to use their voices in a free and expressive way. Which of the following is the music therapist's BEST action to prepare the group for vocal improvisation?

A music therapist is working at a shelter house with women survivors of abuse and trauma. The new music therapy group seeks to empower women and facilitate emotional expression. After a lyric analysis intervention in which clients discuss themes of healing and recovery, which of the following interventions should the music therapist facilitate NEXT?

A music therapist is aware of what she is thinking and feeling during the session and can communicate this to clients when appropriate. This is an example of developing the therapeutic relationship by being

During a music therapy session, a client demonstrates a pattern of behavioral responses towards the therapist based on a significant past relationship outside of music therapy. This is referred to as

Which of the following is a purposefully sequenced course of therapy with a specific outcome?

During a music therapy session a client has a grand mal seizure. Which of the following should be the music therapist's FIRST action?

A music therapist has been asked to write a song to help an adult with intellectual disabilities remember the steps involved with teeth brushing. The MOST effective song lyrics to promote functional independence includes

A music therapist in private practice has been working with an adult outpatient client for a year and all goals have been met. Ongoing assessment indicates no new goals and the client has been functioning well for some time now. As the music therapist prepares the client for termination, which of the following are important to consider?

A music therapy referral is made for a 31-week-old premature infant in the NICU. To ensure the music therapist is following current guidelines for clinical practice, which of the following is the therapist's BEST course of action when completing the treatment plan?

A music therapist is planning a session for a group of residents in a nursing home, focusing on reality orientation and reminiscence. To increase the number of reminiscent statements that the residents make during the session, the music therapist should plan to focus their attention on

A music therapist is working with an adult inpatient psychiatric group. The therapist is leading an instrument improvisation experience and notices that one of the men in the group begins breathing rapidly and beating his drum very intensely. He gets up from his chair, throws his drum to the floor, starts pacing around and hitting his mallet aggressively on chairs in the circle. Which of the following should be the music therapist's FIRST action?

A child with Autism Spectrum Disorder (ASD) who communicates non-verbally spends much of the initial session exploring the environment of the room, touching the walls, and playing instruments that the music therapist has set out in the treatment room. Which of the following should the music therapist concentrate on FIRST?

When asking a client to improvise a melody using only the black keys on a piano, the music therapist should provide an accompaniment based on which of the following scales?

A music therapist is working with a group of students with developmental disabilities. The music therapist teaches the children a song about the names of the colors to build skills in which of the following areas?

A music therapist writes an objective that is well-defined, specifies the criteria for the behavior, and establishes a timeline. This type of objective is

In a group home for young male offenders, a music therapist meets weekly with a group of clients. During a session, each client is asked to pick a song recording to communicate something about themselves to the others in the group. The therapist and the group members then verbally reflect thoughts and feelings that are shared in relationship to the chosen song. It is MOST likely that the music therapist is operating from which of
the following theoretical orientations?

When a music therapist arrives to work at a memory care facility, the spouse of a client expresses sadness that his loved one with late-stage dementia does not recognize him. When the music therapist enters the client's room, the client is sitting in the corner of the room and staring at the floor. Which of the following strategies should the music therapist include in the session?

A patient with late-stage dementia has not vocalized in several years. During the assessment process, the patient makes ongoing attempts to sing "Na, na, na, na" when presented with childhood chants. The music therapist should conclude that music therapy may

Which of the following interventions BEST addresses a goal of increased self- esteem?

A 6-year-old client with Autism Spectrum Disorder (ASD) is consistently meeting his communication goals during music therapy sessions, but the family reports that music therapy is the only place where the child willingly engages in his environment. To facilitate transfer of progress into the client’s everyday life, which of the following is the music therapist's BEST action?

A music therapist is facilitating a music therapy group for children with emotional and behavioral disorders. One of the goals of the group is to improve social skills. The therapist is attempting to structure and organize music therapy experiences within the session to create a therapeutic contour focused on this goal. Following a greeting song, which of the following interventions should be the music therapist's NEXT step?

To receive third party reimbursement for music therapy services, a music therapist is required to include a code for the specific procedures used in music therapy treatment. These codes are defined in the

A group of clients in an outpatient mental health setting have verbalized that they lack healthy support systems. Which of the following interventions BEST addresses this within the music therapy context?

A military veteran undergoing treatment for Post-Traumatic Stress Disorder is enrolled in beginning guitar lessons with a volunteer instructor at the Veterans Affairs (VA) hospital where he receives his treatment. The veteran experiences recurrent distressing memories of his combat experiences, hypervigilance, and difficulty experiencing positive emotions. The veteran tells the music therapist during a large group session that he is enjoying guitar lessons and is using the guitar to relieve stress. Which of the following is the music therapist's BEST action?

A patient with late-stage dementia has aphasia, difficulty following directions, and significant memory loss. To develop a treatment plan that reflects the patient's needs and interests, which of the following should be the music therapist's FIRST action?

Children with Down syndrome often have mild hearing loss that can be difficult to detect. During the music therapy assessment, this hearing loss would MOST impact which of the following responses?

A music therapist has been working with a client at a residential facility for children with intellectual disabilities for several years. The client was referred to music therapy due to limited communication abilities, and has made exceptional progress throughout treatment. Recently, however, the client seems to have reached a plateau and has not met an objective in several months. The music therapist has varied the strategies and techniques used with this client, but the changes have not affected the client’s progress. The facility offers multiple types of therapy, but clients have limited blocks of time during which they can receive therapy services. Which of the following is the music therapist's BEST action?

A music therapist is working with an older adult client diagnosed with depression. Which of the following is the music therapist's BEST approach to help elevate the client's mood?

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

When a music therapist arrives for a group music therapy session at a residential psychiatric treatment facility for adolescents, the therapist finds five group members sitting together laughing and talking loudly. A new patient is sitting alone and appears quiet and sullen. The therapist notices bandages wrapped around the new patient's wrists. One of the group members tells the therapist the patient is new to the unit and none of them even know her
name. After introductions, the therapist should

The act of focusing on a particular object for a period of time while simultaneously ignoring irrelevant information that is also occurring is

Which of the following must be submitted to third-party payers when seeking reimbursement for music therapy services?

During a music therapy session, a client experiences an emotional reaction related to an impending loss. This is typically referred to as

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

The appropriateness of a referral for music therapy is ultimately determined by the

A student who typically communicates non-verbally becomes more vocal during a session, with increased humming and babbling. Which of the following should the music therapist do FIRST to facilitate increased vocal production?

When working within adult oncology, which of the following is the BEST reason to prioritize a music therapy referral for a particular patient?

Which of the following is being used when the music therapist organizes the session into a specific order, creating music experiences for the beginning, middle, and end of the session?

A music therapist working with a mental health group facilitates an opening song in which clients are asked to participate verbally by stating their names. This exercise primarily assesses

Which of the following is the MOST valid and reliable way to document functional outcomes related to specific goals and interventions?

At the end of an initial music therapy assessment in a skilled nursing facility, a music therapist noted that a client with Parkinson’s disease who rarely had mobility issues paused at the door to the treatment room for 30 seconds, and seemed to have trouble initiating the movement necessary to walk through the door. When interpreting the results of the assessment, the MOST likely conclusion the music therapist should make is that the client may have

During a music therapy experience, which of the following is the term used to describe two or more processes being joined together systematically, one at a time?

Which of the following standardized assessments would give a music therapist information about the client's functioning level in the sensorimotor domain?

A music therapist receives a referral for a client who has a diagnosis that is unfamiliar to the therapist. The therapist has read the client’s history and has spoken to the client's nursing staff. Which of the following should be the music therapist's FIRST action to obtain the information needed for effective treatment planning?

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

A music therapy treatment approach that focuses on how music
interventions stimulate the brain to influence a client’s affective, cognitive, and sensorimotor behaviors is

A music therapist introduces instrument choices to a child, playing each instrument to demonstrate its different sounds and uses. The music therapist asks the child to choose an instrument to which he is especially drawn. The music therapist is MOST likely trying to ascertain the child’s

A music therapist working with an adult client diagnosed with schizoaffective disorder who exhibits restricted emotional expression has involved the client in a song discussion focusing on the affective qualities of a familiar song. As the therapist continues singing and playing the song, she notices that the client has begun talking to herself while rocking back and forth and
laughing. The music therapist's BEST response is to

A music therapist facilitates a music experience in which the client plays an instrument while the music therapist plays the piano, pauses when the music therapist stops playing, and waits to continue when the music therapist resumes playing. Which of the following is the MOST likely goal of this intervention?

A music therapist asks a client to close her eyes, presents a musical tone, and asks the client which direction the sound is coming from. The music therapist is assessing the client's auditory

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 clients' needs, the therapist should

A music therapist is designing a group experience for adults in a psychiatric hospital who are reluctant to verbalize. Which of the following experiences will MOST likely encourage non-verbal expression?

Which of the following is a method of stress reduction that involves tensing and releasing of the body?

Which of the following is a diagnosis characterized by deterioration from a previous functioning level, disorganized thinking or speech, and hallucinations or delusions?

A music therapist is completing an assessment for a 5-year-old girl with Rett Syndrome. Which of the following music therapy assessment experiences would BEST assess the client's motor skills?

Which of the following interventions MOST directly addresses social language use?

A music therapist is working with adolescents in an inpatient psychiatric unit. The goal for the music therapy group is to improve coping skills, with an objective that the adolescents identify at least one adaptive skill they can use when in distress. Which of the following music therapy interventions would BEST facilitate this outcome?

A music therapist is writing a treatment plan for a 6-year-old student with Autism Spectrum Disorder (ASD) addressing areas of impulse control and expressive language. The student has a tendency to become distracted during transitions between activities, frequently getting out of his chair to try to play other musical instruments in the room. Which of the following should the music therapist plan to do to help keep the student on task?

A music therapist is working with a respiratory therapist to regulate a patient's breathing during weaning from the mechanical ventilator. Which of the following would be the MOST effective?

A music therapist is working with an older adult male who leads a sedentary life style, has some interest in music, is currently medically stable, lacks strong friendships or relationships, and feels isolated after his spouse's death several years ago. Which of the following wellness programs is the MOST beneficial?

Which of the following adaptations would BEST allow a client who has a weak palmar grasp to play the xylophone?

Which of the following assessment experiences will best assess a client's functioning level, strengths, and need areas to determine goals for treatment related to expressive aphasia?

During a weekly hospice visit, a client and her daughter give a piece of piano sheet music to a music therapist, stating that it was a favorite of the client’s deceased husband. The music therapist is unfamiliar with the song. Noticing that the client appears eager to hear the song, which of the following is the music therapist's BEST action?

A preschool aged child and her new nanny arrive late to an outpatient music clinic for a music therapy assessment. The nanny and child rush into the music room. The child begins to cry, pushes instruments away, does not follow the music therapist's directions, or answer when spoken to. The therapist should conclude that

A music therapist is playing "If You're Happy and You Know It" on the guitar. The group of students with Attention-Deficit/Hyperactivity Disorder are provided with castanets and instructed to play them only at the cued time. The goal is MOST likely to improve

To produce a bass sound on a djembe, the instrument should be struck

A music therapist records observations of a client's self-stimulatory behaviors every 2 minutes. This type of recording is referred to as

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?

Which of the following interventions BEST demonstrates how a music therapist could use music as a cue for a relaxation response when helping a patient prepare for a painful medical procedure?

When planning a music and movement intervention for elderly adults in a skilled nursing facility, the music therapist should FIRST consider what aspect of the music?

A group of 25 to 36-month-old toddlers gather for a weekly music and movement group. To learn an entire dance routine, the music therapist sets a storybook to music. Dance movements are introduced one at a time, and assigned to each page as the story is sung/read. Which of the following techniques is being used to integrate movement with music?

A client with Parkinson's disease is experiencing decreased volume and a breathy, hoarse quality to his voice. Which of the following interventions should the music therapist use to MOST effectively address these vocal production issues?

A client who is originally from a different country has undergone a traumatic experience. The music therapist encounters resistance to questions about the trauma, despite the client’s willingness to engage in musical interaction. The music therapist can infer from the client’s responses that

During an assessment, a music therapist observes that a client responds better to visual cues than verbal directions and excels while using a hands-on approach to manipulate objects. How should the music therapist categorize this type of information?

At the beginning of a session, a client is asked to choose an instrument and play along. The music therapist improvises a chant about the client's instrument choice, the view from the therapy room window, and the fact that they are together for music time. The therapist is MOST likely addressing which of the following objectives?

A music therapist worked with an 8-year-old patient for 2 weeks prior to a surgical procedure. To create comfort through structure and familiarity immediately preceding the surgery, the music therapist should

A music therapist is preparing an individualized music playlist for a patient who is terminally ill. Which of the following is the MOST clinically useful information about the patient for the music therapist to consider?

A patient is admitted to an acute psychiatric unit for treatment of depression 4 months after experiencing a stroke which left him with severe dysarthria. The family approaches a music therapist because they have heard about a technique which uses music to address dysarthria, and they would like the music therapist to assess whether the client would be a good candidate. The music therapist is not familiar with the technique or current assessment procedures in this area. Which of the following is the music therapist's BEST action?

A private practice music therapist is completing an assessment and treatment plan for a 7-year-old boy with Autism Spectrum Disorder (ASD) in a special education program. He has received speech therapy and occupational therapy for several years and is showing an interest in music. The mother is very concerned that her son is withdrawn and does not speak many words. The music therapist should initially

A music therapist receives a request to take over treatment of a colleague’s private client, a 4-year-old girl with a developmental delay. The colleague reports that the child was initially uncomfortable leaving the classroom to go to the treatment room with an unfamiliar person and cried and resisted. To ensure a successful transition for the client, the music therapist should

A music therapist working in a community outpatient facility has a new group of adolescents in music therapy. As the session begins, the clients keep talking about outside events and topics that are not related to therapy. They also ask the music therapist personal questions related to their discussions. Which of the following is the FIRST course of action for the music therapist?

A music therapist is leading a group of children with an array of developmental disabilities. The therapist pays close attention to whether the clients seem bored or frustrated at different points of the session. Which of the following
is the music therapist monitoring to ensure the children's success?

A music therapist records the following responses after the initial assessment of an infant:
- When the music therapist played a maraca in front of the infant, the infant reached for the maraca.
- When the music therapist played and moved a bell, the infant tracked the bell. - When the music therapist sang the infant's name, the infant kicked his legs and smiled.

What domain is the music therapist primarily assessing?

To fully assess a client for music therapy services, a music therapist should use

A music therapist is working in a hospital with an older adult patient who has Generalized Anxiety Disorder and a low tolerance for pain. The patient will be undergoing a painful medical procedure and expresses that she wants her children in the room with her during the procedure. She appears anxious before the procedure starts and is verbalizing that she is afraid of how much it is going to hurt. The music therapist should

In inpatient pediatric medical care, children may begin to experience developmental delays or regression. This is MOST likely a result of

A music therapist is facilitating a song choice and discussion intervention for adolescents in an inpatient psychiatric setting. One of the adolescents is new to the unit, and although verbal and articulate during an individual assessment, he declines to share within the group, even when his preferred song is played. The MOST likely reason for this behavior is that the adolescent

When using music to facilitate and enhance functional movements, it is MOST important to provide music that

In the weekly psychiatry rounds at a residential facility, team members note that a particular client avoids attending music therapy groups but attends art therapy and occupational therapy groups regularly. The music therapist, after discussion with the treatment team and the client, completes a termination plan from music therapy services. Which of the following reasons might be given for termination of services for this particular client?

Exploring the ways in which clients passively accept their circumstances and surrender control in order to make choices and start to consciously take charge of their own lives, is employing principles from which of the following psychotherapeutic models?

A music therapist who works with a student once a week in a school
setting writes the following in the student’s treatment plan: "The student will make eye contact while simultaneously greeting the music therapist in 3 out of 4 trials for 4 consecutive sessions." This is an example of a

A patient in a geriatric setting tells the music therapist that he enjoys bluegrass music and requests it for the next session. This genre of music is not in the therapist's repertoire. Which of the following is the music therapist's BEST action?

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 client's records indicate low self-esteem and difficulty processing auditory information. To engage the client quickly in the group, the therapist should

In a new music therapy group of recently incarcerated women, a music therapist notices that one of the women is friendly and social with others until the session begins. Once the session begins, she does not want to participate in the music experiences other than to pick a favorite recorded song, and she is unwilling to talk about her feelings and emotions with the other group members. When assessing this client, it would be BEST for the music therapist to explore issues related to

Which of the following would give a music therapist the MOST objective information about the client’s existing abilities?

A music therapist is writing objectives for a client whose goal is to increase self-esteem. Which of the following is an example of a measurable objective?

A music therapist is giving an end-of-the-school-year evaluation report for a 2nd grade student with dyslexia. The music therapist reports that the student has made significant gains during treatment; however, not all goals have been met. The music therapist also reports that the student is having difficulty with several speech sounds and has verbalized feelings of low self-worth. The music therapist's recommendations should include

A client has met the stated goals and objectives for music therapy, and the treatment team feels the client has received the maximum possible benefit from these services. The client is away on vacation and will not return for 4 weeks. Which of the following is the music therapist's BEST action?

As a music therapist sings a hello song to a hospitalized infant, the infant orients to the music therapist's voice, makes eye contact with the music therapist, reaches for the music therapist's hand, and smiles and kicks legs upon hearing the infant's name being sung. Which of the following types of behaviors did the infant successfully display?

A music therapist is in a session with an adult patient on an oncology unit at a general hospital. A nurse asks the music therapist to monitor and record the patient's vitals because she needs to attend to another patient. Which of the following is the music therapist's BEST response?

A music therapist visits an older adult female with chronic obstructive pulmonary disease (COPD) at a nursing home. The client is tearful and verbalizes feelings of sadness about the recent death of her daughter, repeating the statement "If only God could have done better." What should the music therapist do FIRST to meet the spiritual needs of the client?

A music therapist is arranging the music therapy setting prior to conducting a reminiscence group for four clients diagnosed with dementia. To facilitate the clients' therapeutic involvement, the BEST arrangement for the chairs is a

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

A hospice patient shares that she is very spiritual and misses the community feeling she experienced while attending worship services on Sundays. Which of the following would BEST address the patient's needs?

A student with social (pragmatic) communication disorder occasionally verbally interrupts at inappropriate times, becoming disruptive in social settings. To BEST address social language use, the music therapist should first sing a phrase from a song, make eye contact with the student, and then sing

A music therapist has been jointly treating a client with vascular dementia and the client’s daughter, once a week for one hour. Recently, the client has become more withdrawn, presenting with a reduced emotional response and increased passivity. Despite changes, the daughter continues to encourage the client to be active and engaged, yet the client is agitated and combative. Which of the following is the music therapist’s BEST response?

A child with a profound intellectual disability frequently displays self- stimulating behaviors, including moving his fingers in front of his eyes. Which of the following would be the MOST effective use of music to decrease self- stimulating behavior?

A 10-year-old client with cerebral palsy and above average intellectual functioning has a goal to increase muscle control for independence in self- feeding. A music therapist should use a xylophone-playing experience to address the development of the client's

Which of the following are the MOST common indicators of pain in a hospice patient who is non-verbal?

In a group music therapy session on an adult psychiatric unit, a client becomes upset with another and starts to escalate, yelling and threatening to harm him. The music therapist has a good rapport with the angry client. Initially, the music therapist should

After a music therapist introduces a client to a variety of rhythm instruments, the client is asked to identify each of the instruments as it is being played behind a screen. This exercise requires the patient to practice

Asking a client to play back five notes that were just played on a piano addresses

A music therapist is assessing adult clients with chronic psychiatric needs for possible inclusion in an outpatient music therapy psychosocial rehabilitation group. What is the BEST non-music assessment tool or procedure to use with these clients to determine appropriateness for music therapy services?

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

A recently board-certified music therapist will begin to facilitate an outpatient support group for cancer patients at a local hospital. She has a variety of patients in the group, including patients recently diagnosed, those currently undergoing treatment, and cancer survivors. Which of the following is the music therapist's BEST action to prepare for the first group?

A music therapist in private practice has been asked to complete a music therapy assessment for a first grade student enrolled in a public school who has an Individualized Educational Program (IEP). In order to BEST communicate the results of the assessment, the music therapist should

A music therapist in a hospice setting is supervising a music therapy intern who is halfway through the internship. The intern has had two visits with his first patient with amyotrophic lateral sclerosis (ALS). The patient is declining quickly and can no longer speak or swallow. The intern appears increasingly distraught and has begun creating excuses to avoid returning to this
patient. The supervisor has learned that the intern's father was recently diagnosed with ALS. The supervisor should

A music therapy experience that requires a client to recall information and events is addressing which of the following types of memory?