Official CBMT practice test Exam QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+, Exams of Nursing

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Official CBMT practice test Exam QUESTIONS

WITH COMPLETE SOLUTIONS GRADED A+

A 17year old is demonstrating a sudden decline in grades, increased unexcused absences, and inability to concentrate when in school. Facial affect 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 (IEP). - Correct answer C. identify current stressors in the student's life.

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 he 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. - Correct answer C. hold her husband's hands and move in time to the music.

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. - Correct answer B. improvise soft guitar music to help the client go to sleep.

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the client has become more withdrawn, presenting with a reduced emotional response and increased passivity.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 used during music therapy sessions. - Correct answer D. Re-evaluate the session length and interventions used during music therapy sessions.

When completing a behavioral assessment, information relating ONLY to behaviors observed, not interpretation, is considered A. subjective. B. irrelevant. C. prejudicial. D. objective. - Correct answer D. objective.

A 7-year-old girl with a 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 sound 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 - Correct answer B. 1, 2, and 4 only

"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 - Correct answer A. psychosocial

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 answer C. changing note duration

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 - Correct answer C. plan for treatment

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. - Correct answer B. 3rd fret.

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 treatment length C. published music therapy program descriptions; therapist expertise; and assessment outcomes D. reviews of past research literature; patient history; and principle of beneficence - Correct answer A. best available research; patient characteristics, culture and preferences; and clinical expertise

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 - Correct answer C. a song with an allegro tempo

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. - Correct answer D. G major.

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 challenges the intern's adequacy to treat this client. - Correct answer C. the intern examine how her countertransference is limiting her therapeutic objectivity.

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 - Correct answer A. tempo

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 - Correct answer B. phrase length

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 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 D. individual sessions emphasizing reality orientation - Correct answer A. individual sessions emphasizing sensory awareness and stimulation

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 the 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. - Correct answer B. Continue the assessment to determine if music can be used effectively with the patient.

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. - Correct answer A. frequency recording.

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. - Correct answer D. Re-evaluate the strategies and expected outcomes of the on-task objective.

A music therapist is improvising in the key of 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. A

B. B

C. D

D. E7 - Correct answer A. A

Which of the following types of scales on the keyboard uses only black keys? A. Aeolian B. Ionian C. Pentatonic D. Lydian - Correct answer C. Pentatonic

A pianist is transposing a piece of music backward through the circle of fifths. The pianist is now playing in the key of E major. Two key changes later, the pianist should be playing in the key of A. A major. B. D major. C. F major.

D. F# major. - Correct answer B. D major.

A music therapist is playing chord progressions on the piano to accompany a client on the harmonica to address breathing. Which of the following patterns is the BEST to initially address breathing frequency and depth? Therapist Client A. C-G-C-G inhale-exhale-inhale-exhale B. C-D-E-F inhale-exhale-inhale-exhale C. C-D-C-B inhale-inhale-exhale-exhale D. C-G-C-G inhale-inhale-exhale-exhale - Correct answer A. C-G-C-G inhale-exhale-inhale-exhale

The decision to accept a music therapy referral for a young adult with posttraumatic stress disorder (PTSD) must primarily be based on the client's needs and A. client's preference for music and duration of PTSD symptoms. B. healthcare insurance coverage and parental approval. C. hospital approval and expected treatment length.

D. the therapist's expertise in PTSD and current caseload. - Correct answer D. the therapist's expertise in PTSD and current caseload.

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. - Correct answer B. obtain consent from the client for the presentation of the case study and the audio recordings of the song.

A music therapist in an outpatient clinic leads a group of four adult clients with mental health issues such as schizophrenia and mood disorders. Each session includes instrumental improvisation with an

opportunity for verbal processing afterward. In one session the music begins softly, out of tempo, and gradually becomes more rhythmic and dissonant. The intensity of the music builds as both the tempo and volume increase, with everyone joining in, and gradually dies down before coming to an end. Afterward, client A says the music was frightening. Client B states she had an image of being on the beach, listening to the waves. Client C comments that the music made him feel anxious. Client D says she found the music peaceful and calming. The BEST conclusion that the music therapist can draw from this discussion is that A. the improvisation did not enhance group cohesion. B. the group members did not listen to one another's playing. C. each person had his or her own subjective experience. D. the clients needed more direction in the improvisation. - Correct answer C. each person had his or her own subjective experience.

A music therapist in a pediatric hospital uses a faces scale to assess the intensity of a 5-year-old girl's pain. Low pain is represented by a smiling face at the lower end and high pain is represented by a crying face at the upper end of the scale. The girl verbally tells the therapist that her arm is hurting "so much!" but she is not crying. When the girl is asked to circle a face on the scale, she circles a face in the middle of the scale. The BEST interpretation of this pain assessment is that the girl maybe

A. exaggerating the verbal description of her pain perception. B. hesitant to document her true levels of pain intensity on paper. C. experiencing a lot of pain but may not associate a crying face with her current feelings. D. confused by the scale as it is too advanced for pain assessment in young children. - Correct answer C. experiencing a lot of pain but may not associate a crying face with her current feelings.

A new music therapist with specialized training moves into a community that has only three music therapists, each of whom has a large waiting list. These music therapists are only available to provide services on a weekly basis, but many of the clients would like to receive services more than once a week. After the new music therapist runs an advertisement in the local newspaper about opening his private clinic, several of these clients contact him about services. The new music therapist should A. schedule these new clients and then notify their other music therapists that he is able to help them serve the community and will be working with their clients. B. suggest that the clients switch from their current therapists to him to allow continuity of service provision across the week from the same provider. C. accept these clients only after speaking with their current music therapists about the situation.

D. offer suggestions to the clients about how to approach their current therapists to obtain referrals for provision of specialized music therapy services. - Correct answer C. accept these clients only after speaking with their current music therapists about the situation.

Which of the following are common symptoms of posttraumatic stress disorder (PTSD)? A. recurring nightmares, sleeplessness, and emotional numbness B. excessive crying, overdependence on others, and regression C. self-injurious behavior, excessive talking, and lack of focus D. hypertension, low muscle tone, and palpitations - Correct answer A. recurring nightmares, sleeplessness, and emotional numbness

A new music therapist is being observed by a supervisor. Before the observation begins, the supervisor asks the music therapist to complete a self-assessment of musical skills. On the assessment, the therapist checks a high rating for guitar skills indicating that these skills are good but could use some improvement. During the session the supervisor observes that the therapist struggles to play certain chords, uses incorrect fingerings, and does not demonstrate more than one type of strumming pattern. Which of the following is the supervisor's BEST action?

A. Document the therapist's inability to play the guitar functionally and issue a verbal warning that skills need to improve. B. Direct the therapist to a community guitar lesson program. C. Suggest that the therapist not bring her guitar to music therapy sessions and only use the keyboard or other accompanying instruments. D. Encourage the therapist to reassess her guitar skills and make a plan for reaching certain musical goals. - Correct answer D. Encourage the therapist to reassess her guitar skills and make a plan for reaching certain musical goals.

A music therapist working with a premature infant is introducing auditory stimulation. While the therapist is humming, the infant begins to show signs of distress and overstimulation. Which of the following should be the music therapist's FIRST response? A. Call the nurse. B. Rock the infant. C. Stop humming. D. Sing a lullaby. - Correct answer C. Stop humming.

A music therapist encounters a hospice patient who is somewhat lethargic and difficult to rouse. The patient is normally alert, active, and engaging. The patient will not reach out to hold an instrument and does

not verbally respond to most musical cues. The patient's music therapy objectives state that she will actively engage for the duration of the visit. Which of the following is the music therapist's BEST response? A. Discontinue the music therapy session and consult with staff regarding the patient's change inability. B. Continue prompting and cueing the patient for the duration of the visit and document findings. C. Discontinue the music, but remain with the patient for the duration of the visit to provide a supportive presence. D. Adapt the music to reflect the current needs and functioning of the patient and document findings. - Correct answer D. Adapt the music to reflect the current needs and functioning of the patient and document findings.

The theory that personalities are shaped and motivated by conscious and unconscious forces, with a strong influence from childhood experiences is A. psychodynamic. B. cognitive. C. holistic. D. existential. - Correct answer A. psychodynamic.

Which of the following is a preferred use of language in treatment documentation? A. The client suffered abuse. B. The client is a victim of abuse. C. The client experienced abuse. D. The client was subjected to abuse. - Correct answer C. The client experienced abuse.

A music therapist is working in a choral ensemble with a group of adults who have developmental disabilities. The group's long-term goal is to perform in the community. Which of the following will MOST likely affect the group's success? A. Adapt parts to meet individual group members' abilities. B. Choose music that is highly preferred by the group. C. Choose music each group member is familiar with. D. Arrange the ensemble participants based on musical ability. - Correct answer A. Adapt parts to meet individual group members' abilities.

A music therapist is working with a group of adolescents in an inpatient psychiatric treatment facility. The therapist wants to engage a new group member who has a flat affect, is looking out the window, is sitting away from the others, and is not answering questions from group members or the therapist. Which of the following is the therapist's BEST action? A. Invite the new member to join in a group improvisation using percussion instruments. B. Conduct a music and imagery session using music the adolescents enjoy. C. Ask a colleague to attend the group to help elicit responses from the new member. D. Conduct lyric analysis using a popular song dealing with adapting to new situations. - Correct answer A. Invite the new member to join in a group improvisation using percussion instruments.

A premature infant is in the neonatal intensive care unit with multiple developmental complications and failure to thrive. Music therapy is being considered as a possible treatment. To structure an appropriate assessment, which of the following is the MOST important piece of information for the therapist to keep in mind? A. birth weight of the infant B. preferred music of the mother

C. music the infant heard while in the womb D. current stage of the infant's neurological development - Correct answer D. current stage of the infant's neurological development

A music therapist supervises an intern who recently shared with the music therapy supervisor that he is transgender. The music therapy supervisor was shocked to learn this and quickly redirected the conversation to a different topic. Since then, there is a lot of uneasiness between the supervisor and the intern. The supervisor does not know how to talk to the intern about this as she feels very uncomfortable with transgender issues. She feels unsure about what gender pronouns to use and just cannot understand why someone would opt to transition. Which of the following is the supervisor's BEST action? A. Inform the intern that it may be best for him to transfer to a different internship site given the music therapist's discomfort with the situation. B. Seek supervision from a healthcare professional with expertise in lesbian, gay, bisexual, transgender, questioning (LGBTQ) issues. C. Read articles about LGBTQ issues and learn more about gender transitioning to be better informed. D. Meet with the student to assure him that the fact that he is transgender will not interfere with their supervisory relationship. - Correct answer B. Seek supervision from a healthcare professional with expertise in lesbian, gay, bisexual, transgender, questioning (LGBTQ) issues.

During initial assessment, a client answers questions about her spirituality and states, "I am very spiritual and religious." How should the music therapist interpret this information? A. Recognize that spiritual music is specific to each region of the United States and provide music accordingly. B. Since the music therapist is also spiritual and religious, she can assume that the client shares the same spiritual belief system. There is no need to further explore the client's perspective. C. Explore what the client means by "spiritual and religious" and openly discuss the client's point of view. D. Determine what the client means by "spiritual and religious" and initiate a discussion about the merits of each spiritual belief system. - Correct answer C. Explore what the client means by "spiritual and religious" and openly discuss the client's point of view.

A music therapist is facilitating group cooperation and decision making by using songwriting. A group member with low self-esteem often provides entire verses of lyrics while ignoring other members' suggestions. To facilitate the group goals, the therapist should A. implement individual sessions with the dominant group member.

B. structure the task to promote an equal response from each group member. C. encourage the dominant group member to listen to other group members. D. respond to non-dominant group members while ignoring the dominant group member. - Correct answer B. structure the task to promote an equal response from each group member.

In a score, if a Bb trumpet is notated in the key of E, the piano is played in the key of A. F#. B. Bb. C. D. D. Ab. - Correct answer C. D.

A teenage client diagnosed with a conduct disorder was referred to music therapy for anger management. During assessment, the client is angry about being required to attend music therapy and states he likes gangsta rap. The music therapist is not familiar with gangsta rap, but dislikes rap music. Which of the following is the music therapist's BEST action?

A. Expose the client to a variety of music to enhance his appreciation for different styles. B. Familiarize herself with gangsta rap to find music to which the client can relate. C. Explain to the client her dislike of rap and encourage him to pick another style of music. D. Explain to the client that gangsta rap is counterproductive to the therapeutic process. - Correct answer B. Familiarize herself with gangsta rap to find music to which the client can relate.

A client in a residential facility is absent from a regularly scheduled music therapy group. After the music therapist investigates the reason for the client's absence, the NEXT step is to A. document the absence. B. discharge the client from the group. C. modify treatment to facilitate the client's return. D. discuss the client's absence at the next group session. - Correct answer A. document the absence.

The MOST discriminating musical experience to assess a client's fine motor skills would be to ask the client to