CBMT Pre-test Study Guide Questions and Answers Rated A+

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CBMT Pre-test Study Guide Questions and Answers Rated A+ A 17-year old is demonstrating a sudden decline in grades, increased unexcused absences, and inability to concentrate when in school. Facial a... ffect has changed from friendly to flat. When approached, the student states he is fine. Reports indicate the client responds to music, so a music therapy referral is requested. To assess possible causes of the change in behavior, a music therapist should first: A) observe the student in other classes B) discuss concerns with the guidance counselor C) identify current stressors in the student's life D) review the student's Individualized Education Plan ✔Ans✔ C) This is the only choice that allows the music therapist to determine potential causal factors 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 the is having difficulty standing up and dancing with his wife. The BEST intervention would be to recommend that the wife: A) watch a big-band dance video with her husband B) sing to her husband as they sit facing one another C) hold her husband's hands and move in time to the music D) sit silently next to her husband while they listen to the music ✔Ans✔ C) Having the wife hold her husband's hands and move in time to the music with him is an intervention that brings both partners together in an active interaction that approximates dancing and facilitates intimacy 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 client shares her fears and life story before the use of any music intervention. After validating the client's feelings, the BEST direction for the music therapist to take is to: A) discuss favorite songs important to the client's life B) improvise soft guitar music to help the client go to sleep C) compose a song together reflecting the client's disclosure D) close the session and bring the client's favorite music to follow-up visits ✔Ans✔ B) Once the client has discussed her fears and shared her story, she may be more ready for sleep. Introducing soft guitar music at this point would be germane to accomplishing the stated therapeutic goal. 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) continue treatment using the music to address agitation and combativeness B) discontinue treatment as the client's passivity will increase with disease progression C) remove the daughter from the music therapy session immediately D) Re-evaluate the session length and interventions ✔Ans✔ D) When working with clients who have vascular dementia, re-evaluation of treatment length and frequency; as well as type of interventions is an important aspect of care due to the often sudden onset of symptoms and continues loss of functioning. While music therapy can be beneficial, music can also be overstimulating, possibly causing distress. When completing a behavioral assessment, information relates ONLY to behaviors observed, not interpretation, is considered: A) subjective B) irrelevant C) prejudicial D) objective ✔Ans✔ D) Behaviors that are observed are considered to provide objective information. A 7-year old girl with 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 sounds 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) 1, 2, and 3 only B) 1, 2, and 4 only C) 1, 3 and 4 only D) 2, 3 and 4 only ✔Ans✔ B) It is not the goal of improvisational music therapy to necessarily comfort and change the mood of the child, but rather to allow the child the full range of emotional expression while supporting that expression musically. "Since her admission, Mary has spent most of her time in her room and has not participated in unit activities." Under which assessment domain would this statement MOST likely be found? A) psychosocial B) emotional C) communicative D) sensorimotor ✔Ans✔ A) psychosocial refers to quantity and quality of interpersonal interaction When playing a familiar song with a young client, which of the following therapeutic exercises will MOST effectively increase sustained attention? A) altering note order B) varying key signature C) changing note duration D) modifying time signature ✔Ans✔ C) This is a strategy to address attention control. This focuses on the basic auditory attention of making the exercise increasingly longer by lengthening/augmenting the notes. The last portion of a music therapy SOAP note discusses which of the following? A) progress summary B) physician's recommendations C) plan for treatment D) provider's assessment ✔Ans✔ C) The four components of a SOAP note are Subjective, Objective, Assessment, and Plan with the last component being plan for how to continue to treat the 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) 2nd fret B) 3rd fret C) 5th fret D) 7th fret ✔Ans✔ B) Placing the cap on the 3rd fret would transpose the song to Eb. Evidence-based practice (EBP) principles require music therapists to take which of the following into account when planning treatment? A) best available research; patient characteristics, culture, and preferences; and clinical expertise B) evidence of past treatment success; therapist knowledge and skills; and assessment outcomes C) published music therapy program descriptions; therapist expertise; and assessment outcomes D) reviews of past research literature; patient history; and principle of beneficence. ✔Ans✔ A) The following statement was approved as a policy of the American Psychological Association (APA) August, 2005: "Evidence-based practice in psychology (EBPP) is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences." The AMTA adopted the following definition of evidence-based music therapy practice in 2010: "Evidence-based music therapy practice integrates the best available research, the music therapists' expertise, and the needs, values, and preferences of the individual(s) served." A music therapist working with a group of four 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) a familiar song B) an unfamiliar song C) a song with an allegro tempo D) a song with an adagio tempo ✔Ans✔ C) Using a song with an allegro tempo in order to meet the children's high level of energy is the most important consideration. 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 song's vocal register, the song should be transposed to the key of: A) B major B) D major C) F major D) G major ✔Ans✔ D) G major contains chords easily played on the guitar and only changes the vocal register by a half step 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: A) the intern is over-identifying with the client's pathology. B) the client's transference toward the intern provides insight into the client's relationship problems. C) the intern examine how her countertransference is limiting her therapeutic objectivity. D) this experience challenged the intern's adequacy to treat the client ✔Ans✔ C) Countertransference refers to the therapist's reaction to the client based on past personal experience. It is important that therapists are aware of their countertransferences and examine how they may interfere with effective therapeutic interactions with a client. 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) Tempo B) Dynamics C) Meter D) Phrasing ✔Ans✔ A) Tempo provides the necessary group cohesion for a successful group music experience. 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 of the following is the MOST crucial aspect to consider? A) client preference B) phrase length C) tessitura D) song duration ✔Ans✔ D) Phrase length is most crucial because it requires regulated and sustained breath support. 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 the other stimuli in the environment. Which of the following is the BEST treatment recommendation for this client? A) individual sessions emphasizing sensory awareness and stimulation B) a small rhythm group emphasizing group cohesiveness C) a music appreciation group emphasizing reminiscence and life review D) individual sessions emphasizing reality orientation ✔Ans✔ A) Sensory awareness and stimulation should be targeted for music therapy because the client is unresponsive to stimuli other than music. While completing an assessment on a patient who is 10 days post-stroke, a 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. Which of the following is the music therapist's BEST action? A) Discontinue music therapy assessment and make recommendations to another type of therapy. B) Continue the assessment to determine if music can be used effectively with the patient. C) Use only non-musical assessment tools to avoid agitating the patient. D) Discuss the spouse's comment with the treatment team and make a team decision on how to continue ✔Ans✔ B) Recommendations should not be made until an assessment has been completed. Counting the number of verbalizations during a music therapy session is an example of: A) frequency recording B) duration recording C) observation recording D) interval recording ✔Ans✔ A) frequency recording counts the number occurences of a behavior A client is referred for music therapy to increase on-task behavior and to encourage social interaction. After 3 months of weekly sessions, the client has not met the on-task objective, but social interaction has improved. Which of the following is the music therapist's BEST response? A) change the criteria of the on-task objective to challenge the client B) identify new goals the client may be more successful at completing C) refer the client to a social skills group D) re-evaluate the strategies and expected outcomes of the on-task objective ✔Ans✔ D) evaluating strategies and reconsidering outcomes addresses the unmet objective and leads to modification for more effective treatment A music therapist is improvising in 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? A) A7 B) B7 C) D7 D) E7 ✔Ans✔ A) A7 is the secondary dominant-seventh of V in G major and the dominant-seventh of D major Which of the following types of scales on the keyboard only uses black keys? A) Aeolian B) Ionian C) Pentatonic D) Lydian ✔Ans✔ C) A pentatonic scale can be played on only black keys Which of the following types of scales is the same as a natural minor scale? A) Ionian B) Lydian C) Locrian D) Aeolian ✔Ans✔ D) Aeolian Which of the following types of scales is the same as a major scale? A) Aeolian B) Ionian C) Locrian D) Mixalydian ✔Ans✔ B) Ionian [Show More]

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