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CBMT EXAM
- A hospice patient communicates to the music therapist concerns about how the family will cope in bereavement. While the patient is talking, the music therapist leans toward the patient and occasionally nods. After the patient finishes speaking, the music therapist waits for a moment and then says, "It sounds like you're really concerned about your family." Which of the following does the music therapist's verbal and nonverbal behavior demonstrate? A. unconditional positive regard B. active listening C. countertransference D. sympathy - ANSWERS-B. The music therapist's verbal and non- verbal behaviors demonstrate active listening, a serious interest in the topic, and comprehension of what the patient said.
A music therapist works with adults with anxiety disorders in a partial hospitalization program once a week in music-assisted relaxation sessions. Which of the following is the BEST strategy to promote the independent use of music for self-care? A. Practice progressive muscle relaxation using live guitar chord progressions. B.
Provide clients with a playlist of the music and relaxation scripts for practice at home. C. Facilitate music imagery and have clients imagine themselves as independent adults. D. Work with the clients on mindfulness training and help them breathe through their anxiety. - ANSWERS-B. This strategy would provide clients with opportunities to practice and use music-assisted relaxation interventions independently at home.
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 A. the client does not feel the need to address the trauma in music therapy sessions. B. the therapist should be more persistent in using follow-up questions after engaging in musical interaction. C. the client's cultural group may have a different perspective regarding questions of a personal nature.
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. Begin singing a variety of hymns to support the client's verbalizations. B. Direct the client in prayer to affirm the client's verbal responses. C. Ask the client questions about her specific spiritual affiliation. D. Facilitate fill-in-the-blank song writing using the phrase, "If only God." - ANSWERS-D. This provides the client with control of the lyrics, spiritual content, and easily indicates to the music therapist the client's spiritual affiliation. An improvised song is not limited to a specific genre of "spiritual" music like hymns or gospel spiritual, which would immediately stereotype the client's spiritual needs and affiliation.
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. Decline to play the song, stating that it is unfamiliar. B. Assure the client that the song will be played the following session. C. Sight read the piece, playing a reduced piano part. D. Suggest another song that the client likes. - ANSWERS-C. The music therapist can use music training to play a reduced part that will still convey the essence of the piece, which can open the door to reminiscence and life review.
Which of the following examples illustrate professional development? A. Document treatment plans, collaborate with other colleagues, and expand music repertoire. B. Conduct or assist with research, participate in continuing education, and engage in collaboration with other colleagues. C.
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. frequently remind the boy to stay in his seat and focus on the musical activity. B. delineate a small area of the room to be used and remove possible distractions. C. request that a classmate of the boy be present to act as a role model. D. observe the boy's spontaneous actions to see how he reacts in this environment. - ANSWERS-B. When doing an assessment, it is the therapist's responsibility to create an environment or space conducive to the client's needs. The child described needs a space with minimal distractions due to his ADHD.
Using rhythmic movement as a therapeutic technique to address gait dysfunctions aligns MOST directly with which of the following treatment approaches? A. neurological
B.
behavioral C. humanistic D. developmental - ANSWERS-A. The neurological approach addresses gait dysfunctions that stimulate music perception and pair it with motor responses.
A music therapist is reviewing a pilot study in a peer-reviewed journal to possibly apply the intervention with current patients. In the study, the researchers concluded that the participants benefited from the music therapy intervention. Which of the following is the PRIMARY concern when applying the music therapy intervention used in the article? A. sampling bias B. lack of replication C. type II error D. low validity - ANSWERS-B. A pilot study lacks replication. The results from the study may be unique to the participants in the study.
A.
effective communication with funding sources for the treatment setting B. self-exploration in pursuit of cultural humility and reflexivity C. extensive data tracking to demonstrate the effectiveness of interventions D. willingness to integrate multimodal interventions into the therapeutic process - ANSWERS-B. Working in community settings challenges the music therapist to be aware of their intersectional identity and any accompanying assumptions, biases, and prejudices that come with their cultural perspective.
To fully assess a client for music therapy services, a music therapist should use A. a variety of musical assessment procedures. B. non-musical standardized assessment procedures. C. musical and non-musical assessment procedures. D.
existing assessment tools and procedures. - ANSWERS-C. Using both assessment procedures will give the music therapist the most comprehensive information about the client.
A music therapist receives a referral for a new client from a nurse who states that the client "loves music." The music therapist's INITIAL follow-up communication is to A. contact the client to schedule an assessment. B. ask the nurse about specific clinical needs. C. consult with the caregiver about client's music preferences. D. request a treatment summary from the interdisciplinary team. - ANSWERS-B. An appropriate follow-up with the nurse would be to request more information about clinical needs.
A music therapist has taken a job at a facility with a few older instruments and a limited budget for music therapy supplies. The music therapist would like to have a client improvise on a diatonic Orff xylophone while the music therapist plays the piano, but the xylophone is missing its F and B bars. Which scale, beginning on C,
B.
Only let clients without a history of NSSI use instruments during the session. C. After the session, inspect the clients' rooms for parts of instruments they might have taken. D. When collecting the instruments, inspect them for any broken or missing parts. - ANSWERS-D. Inspecting the instruments before the clients are allowed to leave the room allows the music therapist to address any broken or missing parts before self-injury is likely to occur.
"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 - ANSWERS-A. Psychosocial refers to quantity and quality of interpersonal interaction.
A music therapist audio records all songs written and performed by her clients. The music therapist is presenting a case study at a national conference about her work with a female client who experienced domestic abuse. However, the music therapist is no longer working with the client. In order for the music therapist to present this case study, including audio recordings, the music therapist must A. acquire permission from the client for the presentation of the audio recordings only. B. obtain consent from the client for the presentation of the case study and the audio recordings of the song. C. disguise the identity of the client in any materials presented at the conference so that client consent is not needed. D. inform the conference attendees that consent could not be obtained because the therapeutic relationship had been terminated. - ANSWERS-B. Presenters should obtain consent from clients for presentation of case study material as well as audio recordings at conferences and educational events. Given that presentation opportunities may arise after a therapeutic relationship has been terminated, it is important that clients are asked for consent for
- In a standard 12 - bar blues form, the chord in the ninth measure is the A. tonic. B. subdominant. C. submediant. D. dominant. - ANSWERS-D. The dominant chord is sounded in the ninth measure of the 12-bar blues.
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.√ Incorporate progressively more stimulating client-preferred music. B. Introduce the client to a new song to stimulate interest. C. Play slower, somber music to match the client's activity level. D.
Sing an upbeat song with positive lyrics. - ANSWERS-A. Progressively more stimulating client-preferred music can increase motor activity and physical responses by increasing heart rate and oxygen saturation. Coupled with pleasant associations with preferred music, these responses can be effective in elevating mood.
In a behavioral health setting, which of the following is the MOST valid and reliable way to document functional outcomes related to specific goals and interventions? A. patient self-report B. an interval recording schedule C. online outcome measures D.√ standardized measurement tools - ANSWERS-D. Because validity and reliability testing is common practice in the development of standardized measurement tools, the results of a standardized measurement tool would be the most valid and reliable.
A music therapist is facilitating a song-writing experience with an adult client. The music therapist introduces a 12-bar blues song, intentionally leaving off the lyrics at the end of each phrase for the
D.
dyslexia - ANSWERS-A. Aphasia is a language disorder associated with CVAs (and other neurological conditions) which could affect a patient's ability to relay information. Some of the most common types of aphasia are expressive, receptive, and global. Expressive aphasia: With expressive aphasia, the person knows what he or she wants to say yet has difficulty communicating it to others. It doesn't matter whether the person is trying to say or write what he or she is trying to communicate.Receptive aphasia: With receptive aphasia, the person can hear a voice or read the print, but may not understand the meaning of the message. Oftentimes, someone with receptive aphasia takes figurative language literally.Global aphasia: This is the most severe type of aphasia. It is often seen right after someone has a stroke. With global aphasia, the person has difficulty speaking and understanding words. In addition, the person is unable to read or write.
- A music therapist is working with a client with athetoid cerebral palsy who expresses an interest in playing the cymbals, but 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? A. physiatrist B. physical therapist C. percussion instructor
D.
occupational therapist - ANSWERS-D. Adaptation of devices for functional purposes is within the scope of practice of an occupational therapist. Therefore, this is the professional most likely to be able to assist the music therapist in adapting the mallet so that the client can play the cymbals.
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. Determine the goals and objectives with the nursing staff. B. Consult with the interdisciplinary team for best practices. C. Research clinical literature for evidence-based protocol. D. Ask the parents or caregivers for additional information. - ANSWERS-C. This population is medically fragile and the patient could be harmed without knowledge of advanced practice methods. The music therapist should consult peer-reviewed music therapy journals, along with other reputable refereed journals to research evidence-based protocol and best practices.
