Download CBMT Practice Test QUESTIONS WITH COMPLETE SOLUTIONS and more Exams Nursing in PDF only on Docsity!
CBMT Practice Test QUESTIONS WITH COMPLETE SOLUTIONS
A music therapist completes an assessment of a 3 year old with a profound developmental disability. The child responds to music by turning their head towards the sound consistently. The overall goal identified by the treatment team is to increase the child's responsiveness to the environment. What is the music therapist's best approach towards this goal when creating and documenting the treatment plan? A. Adapt objectives from other team members. B. Create a hierarchy of objectives leading towards the desired outcome of therapy. C. Identify antecedent behaviors that precipitate the desired behavior. D.
Consult with family and team about the child's music preferences and behaviors. - Correct
Answers B. A hierarchy of objectives is a logical sequence of behavioral expectations
leading toward the desired outcome of therapy. Creating and documenting a hierarchy is a key step of treatment planning. A client is being discharged from an inpatient psychiatric unit because the treatment team has decided the client no longer poses a danger to self or others, and an appropriate living situation in the community is available. When preparing the treatment summary, which of the following should the music therapist consider? A. The client met treatment goals in music therapy. B. The client should not be discharged due to limited progress in music therapy. C. The client should have a follow-up plan that addresses stressors that precipitated hospitalization.
D.
The client takes prescribed medications so community reintegration should be successful. -
Correct Answers C. Patients may confront stressors that prompted them to seek
inpatient care in the first place. Music therapists can work to help create a follow-up plan that proactively plans for discharge and takes these stressors into account (Silverman, 2015). The team member who is BEST positioned to enable a successful transition to the community following discharge from an adult behavioral health setting is the A. patient. B. psychiatrist. C. social worker. D.
music therapist. - Correct Answers A. In order to successfully transition to the
community from a behavioral health unit, the patient is encouraged to be involved in their treatment and independently use resources in the community. A child with ADHD has been referred to a music therapist for an assessment. The child's mother requested that the child be placed in a group setting to work on social interaction. During assessment, the child demonstrates extreme difficulty with movement and emotional regulation. Based on the assessment observations, which of the following is the music therapist's BEST action? A. Provide the child with group therapy placement to offer opportunities for regulation needs. B. Place the child in a group therapy environment to provide social interaction.
B.
chaining C. errorless learning D.
group contingencies - Correct Answers B. Chaining is the process of two or more
responses being joined together systematically one at a time to teach the desired outcome. The pages of the storybook contain visual and musical cues that correspond with a specific movement. When presented this way, the learner is not inundated with too much information and links the movements to each other to result in a dance routine. If a music therapist has a sound recording, but no sheet music, the BEST strategy to determine the chord progression is to focus on the A. lead guitar. B. lead singer. C. electric bass. D.
back-up vocals. - Correct Answers C. The electric bass usually plays the root of the
chords in the basic harmonic progression needed to provide the accompaniment. The act of focusing on a particular object for a period of time while simultaneously ignoring irrelevant information that is also occurring is A. sustained attention.
B.
arousal. C. vigilance. D.
selective attention. - Correct Answers D. Selective attention is the act of focusing on a
particular object for a period of time while simultaneously ignoring irrelevant information that is also occurring. A client in a hospital is experiencing a high degree of acute postoperative pain that has been ineffectively addressed with medication. A music therapist receives a referral from the nursing staff to help the client cope with the acute pain until a better pharmaceutical intervention can be instituted. The music therapist finds that the client is highly anxious and having trouble concentrating. Which of the following is the music therapist's BEST action? A. Engage the client in song discussion using preferred songs from a list to aid distraction. B. Facilitate breathing exercises in the context of live music of the client's preferred style. C. Use music and imagery to help the client to imagine being in a more comfortable place. D. Provide the client with a choice of instruments on which to express the client's experience of
pain. - Correct Answers B. Using live music that is in the style preferred by the client
allows the therapist to adjust the musical elements to support relaxation, and encouraging the client to breathe deeply while listening will help with the physiological relaxation response. 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 potential presentation of case material at conferences or educational gatherings. This consent will include HIPAA language in terms of protection of the client's identifiable information. A separate consent must be sought at the beginning of the treatment for audio recording of any music making and the use of such audio recordings in future presentations. A 7-year-old child diagnosed with autism spectrum disorder (ASD) level 3 starts exhibiting head banging behavior halfway through a music therapy session. The therapist is addressing goals of endurance and attention to task. The music therapist's FIRST response should be to A. restrain the child's hands until conclusion of music activity. B. place a spare helmet on the child's head to prevent further injury. C. introduce a different song/instrument and observe the child's response. D.
redirect the child with quiet music to decrease head banging. - Correct Answers C.
DSM-5 identifies ASD Level 3 as including: severe deficits in communication, socialization, sensory input, causing great distress, or difficulty adapting to change. Self-injurious behavior may be due to lack of communication and/or sensory overload. By adjusting timbre, the music therapist can observe changes, or produce calming. The following alternative guitar tuning, commonly found in folk and blues music, is an example of A. modal D tuning. B. open G tuning. C.
modal G tuning. D.
open D tuning. - Correct Answers B. The open G tuning is D-G-D-G-B-D and is one of
the easiest alternative guitar tunings to play. It is most commonly found in folk and blues music. While improvising with a client, a music therapist introduces new rhythmic and melodic motives with changes in meter and key. The therapist is MOST likely attempting to A. stabilize the feelings expressed by the client. B. interpret and clarify the client's improvisation. C. redirect the client from a potentially rigid way of playing. D.
reflect emotions and energy of the client's improvisation. - Correct Answers C.
Introducing new musical material is an effective way to redirect the client's playing. Through an interpreter, a music therapist assesses a 4-year-old girl from Senegal who exhibits signs of trauma and does not speak English. The music therapist asks the girl and her mother about favorite music, beliefs, and rules about music within their culture. After the music therapist researches Senegalese music and prepares culturally-appropriate music-based experiences, the child responds with improved affect and increased interaction with the mother. When communicating assessment findings, the BEST statement for the music therapist to make is that the patient is A. recommended for music therapy services at this time based on conversations with the family and the child's response to interventions. B.
A.
tempo B. dynamics C. rhythm D.
phrasing - Correct Answers A. Tempo provides the necessary group cohesion for a
successful group music experience. A music therapist encounters the following chord progression in the key of C in a song accompaniment: In order to accommodate the vocal range of the client, the therapist needs to transpose the song a major third up. Which of the following represents the transposed chord progression? A. E# F#m7/A E/B B E B. E Am7 Em/B B Em C. Eb Fmb7 Bb6 Bb Em D.
E F#m7b5/A Em/B B Em - Correct Answers D. The key of E major is correct and the
chord sequence is correctly transposed.
A music therapist is creating a treatment plan for a client who exhibits delayed response to stimuli. The music therapist is planning to address the goal of improved response time through an intervention in which the client plays a drum when the music therapist begins to play the piano. Which of the following is the MOST appropriate data for the music therapist to plan to collect to determine progress towards this goal? A. number of times the client plays the drum during the session B. latency of each of the client's musical responses C. self-reported improvement of response from the beginning to end of the session D.
overall time spent engaged in drum playing during the intervention - Correct Answers
B. Recording the latency, or interval of time between stimulus and reaction, would show whether the client is able to respond more quickly over the course of the intervention, and could be compared over multiple sessions. During an assessment, a patient with Parkinson's disease struggles to respond to musical cues that encourage singing familiar, one-word responses. When drawing conclusions, the music therapist should recommend that music therapy may A. not be beneficial because the patient is in the final stages of the disease. B. be beneficial because the patient is in the early stages of the disease. C. be beneficial in treating both dysarthria and cognitive changes. D.
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." - Correct
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. A child with cerebral palsy who communicates non-verbally brings an augmentative and alternative communication (AAC) device to group music therapy. The BEST way to plan to accommodate this client's inclusion in a group singing experience is to A. encourage the child to touch 'stop/go'. B. teach the child hand gestures for several song lyrics. C. ask the staff to sing for the child.
D. pre-record song lyrics onto the system. - Correct Answers D. Pre-recorded lyrics
allow the child to supply words/phrases to songs and contribute most effectively.
- 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 - Correct Answers B. A pilot study lacks replication. The results from
the study may be unique to the participants in the study. 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. - Correct 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, should the music therapist play in to MOST successfully facilitate this experience? A. Aeolian B. harmonic minor C. Dorian
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 received a referral from a physician to see a hospitalized patient who is in a coma and demonstrates inconsistent, nonspecific, and delayed responses to external stimuli. During the initial visit, which of the following actions should the music therapist take when assessing appropriateness of music therapy? A. Ask the patient's family member about the patient's music preferences. B. Note initial behavioral state and monitor any changes that occur during music. C. Read the patient's medical chart and find appropriate evidence-based interventions. D. Refer to the research literature to find appropriate evidence-based interventions. -
Correct Answers B. Changes in behavioral states may be indicative of responses to
pain or overstimulation for someone who is in a coma, and should be carefully monitored to determine whether to continue music therapy. 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? A. a background survey B. an individual interview C. an intelligence test
D. a personality inventory - Correct Answers B. The interview is a common and well-
established method of non-musical assessment in psychiatric care; music therapists often use this format for collecting information about social interaction, musical experiences, music preferences, and other relevant information that may influence group dynamics and interactions. Which of the following is an example of fading that a music therapist might use at the end of treatment to help facilitate transfer of therapeutic progress into a client's everyday life? A. bringing elements of the outside environment into the therapeutic setting B. giving the client an assignment to practice at home C. communicating recommendations for future treatment with the client's caregiver
D. gradually giving fewer musical and verbal prompts for behavior - Correct Answers
D. Gradually giving fewer musical and verbal prompts for behavior is an example of fading. Two clients in an adult outpatient community mental health group always arrive and sit together. One client is never present without the other and they rarely
A. ask the patient what is wrong and help the patient to calm down. B. redirect the patient and remind her that group is starting now. C. play quiet music and stay with the patient until she is calm.
D. guide the roommate out of the room and call for staff assistance. - Correct Answers
D. AMTA Scope of Music Therapy Practice (2015) Potential for Harm- "Recognize and respond to situations in which there are clear and present dangers to a client and/or others." Priority is to keep the patient safe; guiding the roommate out of the room keeps the roommate safe and away from danger. 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 - Correct Answers C. Changing note duration is a strategy
to address attention control. This focuses on the basic auditory attention function of making the exercise increasingly longer by lengthening/augmenting the notes. 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? A. Imitate the student's sounds. B. Play a familiar song.
C. Add rhythmic accompaniment.
D. Introduce additional sounds. - Correct Answers A.
Which of the following is a music therapist measuring when taking data by interval recording? A. the length of time a behavior lasts B. the number of times a behavior occurs C. what response occurs after a specific behavior
D. whether a behavior occurs during a period of time - Correct Answers D. Interval
recording determines whether a behavior has occurred during a specific interval of time. A client with no dysarthria imitates a music therapist in singing words but cannot engage in conversational speech with recall on demand. Which of the following interventions is indicated? A. cueing using rhythmic speech strategies B. melodic intonation therapy C. vocal and breathing techniques
D. therapeutic singing - Correct Answers B. Melodic intonation therapy utilizes a
patient's unimpaired ability to sing to facilitate spontaneous and voluntary speech through sung and chanted melodies which resemble natural speech intonation patterns (Sparks et al. 1974).
