CBMT Practice Test Questions with Correct Solutions Latest Update 2023, Exams of Nursing

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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 answer ✅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

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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 answer ✅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.

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patient. B. psychiatrist. C. social worker. D. music therapist. - correct answer ✅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.

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C.

Recommend the child receive individual sessions to address regulation needs before group placement. D. Determine the child would not benefit from music therapy at this time. - correct answer ✅C. Using individual therapy first to address the emotional and movement regulation needs is the best approach. Once progress is made on an individual basis, group placement may be appropriate. Which of the following activities involves assessment of a client's functioning level in the area of sensory skills? A. playing a triangle to a steady beat B. sight-reading song lyrics C. selecting a piano melody D.

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music listening as a part of music-assisted relaxation - correct answer ✅A. Sensory integration is required by the eye-hand coordination needed to hold the beater and strike the triangle. 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. modeling B. chaining C. errorless learning D. group contingencies - correct answer ✅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

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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 answer ✅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.

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sustained attention. B. arousal. C. vigilance. D. selective attention. - correct answer ✅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.

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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 answer ✅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? A. Question the administration about the severe restrictions. B.

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Bring in small instruments based on best professional judgement. C. Request permission to bring in small instruments. D. Adhere to the instructions. - correct answer ✅D. Safety and security are the highest priority in a forensic setting. 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.

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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. - correct answer ✅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 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.

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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 answer ✅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.

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modal G tuning. D. open D tuning. - correct answer ✅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 answer ✅C. Introducing new musical material is an effective way to redirect the client's playing.

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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. recommended for music therapy services, with acknowledgement that potential biases and limitations of the music therapist may influence this interpretation of assessment information. C. not recommended for music therapy services at this time, due to cultural differences and language barriers that inhibit effectiveness of the interventions. D.

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not recommended for music therapy services at this time, due to child's response to interventions and conversations through the interpreter. - correct answer ✅B. Acknowledging music therapist's bias and limitations in interpreting assessment information due to cultural and language differences is important. Potential bias and limited understanding of the culture may unintentionally influence the music therapist's interpretation and recommendation and these concerns should be communicated to the treatment team. 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. auditory perception B. executive functions C. non-verbal expression D.

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motor skills - correct answer ✅C. All the behaviors displayed by the infant are non- verbal expressions. 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. rhythm D. phrasing - correct answer ✅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:

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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 answer ✅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

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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 answer ✅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.

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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. not be beneficial because it could lead to frustration. - correct answer ✅C. Dysarthria (weakness in the muscles used for speech) and cognitive changes are both symptoms that can be effectively addressed using music therapy. 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.

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C.the client's cultural group may have a different perspective regarding questions of a personal nature. D. the client may have doubts about the music therapist's ability to address the trauma. - correct answer ✅C. Cultural value systems are different, especially when comparing Western vs. Eastern cultures, and the music therapist's own values may not be the same as the client's. The therapist should acknowledge this bias and consider that cultural differences may limit their interpretation of the client's response. Especially if the client is from an Eastern culture, directness or assertiveness may not be understood or appreciated. 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.

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D. Facilitate fill-in-the-blank song writing using the phrase, "If only God." - correct answer ✅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 answer ✅D. Pre-recorded lyrics allow the child to supply words/phrases to songs and contribute most effectively.

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13. 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 answer ✅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.

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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 answer ✅B. An appropriate follow-up with the nurse would be to request more information about clinical needs.

19. 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

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D. major pentatonic - correct answer ✅D. A major pentatonic scale starting on C would use the notes C, D, E, G, and A, which could all be played on the xylophone. 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 - correct answer ✅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. 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?

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A. aphasia B. ataxia C. dysphagia D. dyslexia - correct answer ✅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.

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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 answer ✅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