Quiz
Music Therapy - CBMT practice exam #1
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Fragen in diesem Quiz (130)
1A patient exhibits distracted, unfocused behaviors during a final session. To BEST meet the clients immediate needs prior to discharge, the therapist should focus on the clients
- Aaccess to community resources.
- Bfeelings about termination.
- Climited attention skills.
- Dprogress in therapy.
2A 10-year-old music therapy client with Oppositional Defiant Disorder (ODD) has met all music goals, and the music therapist presents his discharge summary at her agency's weekly staffing. In other therapists, the client has made very little progress and remains defiant and resistive. The music therapist should
- Aproceed with discharge as an advocate for the client to show that he indeed met his goals and ha no deficits in music therapy.
- Bproceed with discharge and offer suggestions to the other therapists for how to integrate music into their work to help him develop positive socially.
- Ccollaborate with other professionals to target generalization of behaviors in music therapy to other setting.
- Dredesign his treatment plan to build ego strength through acquiring musical skills.
3When completing a behavioral assessment, information relating ONLY to behaviors observed, not interpretation, is considered
- Asubjective.
- Birrelevant.
- Cprejudicial.
- Dobjective.
4A music therapist has completed an assessment on a patient who has Parkinson's disease. The patient was referred for treatment of dysarthria. When planning a music therapy treatment program, the therapist should focus on
- Agait stability.
- Btremor reduction.
- Cdepression.
- Doral motor control.
5A school music teacher refers an 8-year-old boy to the school's music therapist because he is "uncooperative and unfocused," "disruptive during class," and "always wanting to play things his own way." The music therapist should FIRST
- Aschedule an assessment of the child.
- Badvise the teacher to set clear limits for the child.
- Cdesign a program to work on the child's social skills.
- Drecommend a course of individual music therapy.
6Which of the following music experiences BEST promotes spatial awareness for a group of adults which developmental disabilities?
- Amoving freely to client-preferred music.
- Beliciting movement through recorded music.
- Cfacilitating structured movement through live music.
- Dparticipating in an action song.
7A music therapist is assigned to conduct an initial assessment for a 12 year old who is blind and walks with a cane. Which of the following rooms would BEST enable the therapist to conduct a comprehensive assessment for this clients?
- Asmall room with carpet and storage cabinets for equipment.
- Bmedium-sized room with a suspended wooden floor and audio cabinets mounted on the wall.
- Clarge room with a concrete floor and two couches set up against the wall.
- Dnarrow room set up with tables against each wall.
8An objective reads: "Within 6 weeks, the client will demonstrate on-task behavior by playing the drum for 2 consecutive minutes in three of four trials." Which of the following data collection procedures will BEST document the clients progress toward this objective?
- ACount the number of beats per minute the client plays on a drum for each trial.
- BRecord the amount of time the client engages in drum playing for each trial.
- CCount the number of time the client engages in drum playing during each session.
- DRecord the amount of time the client is off-task during each session.
9A 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 which ignoring other members' suggestions. To facilitate the group goals, the therapist should
- Aimplement individual sessions with the dominant group member.
- Bstructure the task to promote an equal response from each group member.
- Cencourage the dominant group member to listen to other group members.
- Drespond to non-dominant group members while ignoring the dominant group member.
10A 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 songs vocal register, the song should be transposed to the key of
- AB Major.
- BD Major.
- CF Major.
- DG Major
11A 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. The BEST action for the therapist is to
- Aexpose the client to a variety of music to enhance his appreciation for different styles.
- Bfamiliarize herself with gangsta rap to find music to which the client can relate.
- Cexplain to the client her dislike of rap and encourage him to pick another style of music.
- Dexplain to the client that gangsta rap is counterproductive to the therapeutic process.
12An individual has the following duster of symptoms:
- failure to develop peer relationships appropriate to developmental level.
- apparently inflexible adherence to specific, nonfunctional routines or rituals.
- general delay in language
- delay in cognitive development or in the development of age appropriate self-help skills, adaptive behavior, or curiosity about the environment in childhood.
Which of the following is the specific diagnostic label?- ARett Syndrome.
- Bautism spectrum disorder.
- Cchildhood dis-integrative disorder.
- Dintellectual and developmental disability.
13When working to sustain the attention of a child during a medical procedure, the MOST important attribute of the music to consider is
- Arate of change.
- Bdynamic range.
- Cmode.
- Dtempo.
14A 14-year-old boy is referred to an outpatient music therapy group. The group is learning to play a 12-bar blues pattern using guitars, keyboards, and drums. The clients records indicate low self-esteem and difficulty processing auditory information. To engage the client quickly in the group, the therapist should
- Aexplain the chord structure of the 12-bar blues.
- Bplay a drum along with the client in a steady beat.
- Cshow the client how to play the chords in first position on the guitar.
- Dask the client to listen while the group plays through the 12-bar blues.
15A 13-year-old client with autism is brought to his initial music therapy session. According to his record, he shows tactile defensiveness and has limited verbal ability. On entering the room, he walks around its perimeter looking at his hand as he runs it along the wall. In the room, there is a piano, a drum, and a xylophone. Which of the following is the BEST initial approach to working with his client?
- ATake him by the hand and lead him to the instruments.
- BVerbally welcome him and invite him to the piano.
- CObserve and musically reflect his responses to the environment.
- DIgnore his behavior and begin playing march music on the piano.
16A 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
- A2nd fret.
- B3rd fret.
- C5th fret.
- D7th fret.
17A physical therapy department is developing a wellness exercise program. The physical therapists ask the music therapist to assist them in selecting music for use during exercises. To represent the BEST collaborative effort, the music therapist should
- Arequest that the physical therapists determine the clients' preferred music styles and provide music in those styles.
- Bsuggest that the music therapist co-lead the exercises with the clients.
- Cprovide music selections that have been used successfully for movement exercises.
- Drequest detailed descriptions of the exercise in order to select recorded music.
18At the conclusion of treatment, the music therapist should document all of the following EXCEPT the
- Atermination plan.
- Bfollow-up procedures.
- Cclient's family history.
- Dclient's current functioning.
19A 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?
- AQuestion the administration about the severe restrictions.
- BBring in small instruments based on best professional judgement.
- CRequest permission to bring in small instruments.
- DAdhere to the instructions.
20For several months, a music therapist has conducted weekly sessions with a 45-year-old woman in outpatient oncology. They have been compiling a musical CD for her three young children as a legacy. Prior to completion of the CD, the patient is suddenly discharged to hospice. The music therapist should
- Abring recording equipment to hospice and complete the CD with the patient.
- Bcontact hospice and arrange for transition to the facility's music therapist.
- Cvisit the patient to inquire how to proceed with the CD.
- Ddo a home visit for the children and give them the unfinished CD.
21Which of the following statements made by a music therapist is subjective?
- A"The client jumped out of his chair and ran from the room."
- B"The client threw his songbook on the floor and said, "These are evil songs.""
- C"The client was angry and had difficulty tolerating the session."
- D"The client did not interact verbally with peers during the session."
22A music therapy production is planned for presentation to clients, staff, and guests at an institution. The music therapist is asked to design a printed program providing recognition to the participating clients. The therapist must
- Aprovide a printed program for the clients only.
- Bnot print the program because of the potential breach of confidentiality.
- Censure that clients whose names are to be printed have signed a written release form.
- Donly choose clients to participate in the production who will allow the use of their names in the program.
23While working with a child, the music therapist raises her eyebrows when the child reaches for a mallet, which is an off-task behavior. The child immediately pulls her hand away. The therapist has
- Aignored the client's response.
- Breinforced on-task behavior.
- Ccommunicated limits.
- Dreinforced the off-task behavior.
24A 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
- Adocument the absence.
- Bdischarge the client from the group.
- Cmodify treatment to facilitate the clients return.
- Ddiscuss the clients absence at the next group session.
25A music therapist has been hired by a facility to establish a new music therapy program. Which of the following would be the MOST effective way to seek referrals?
- ASend a memo to each unit explaining music therapist and requesting referrals.
- BMeet with each treatment team manager and request referrals.
- CSend flyers to each unit advertising music therapy services.
- DConduct a music therapy in-service for the facility staff and encourage referrals.
26During an initial music therapy assessment of an individual who is comatose, the presentation of loud and abrupt auditory stimuli is use to assess
- Athe startle reflex.
- Bauditory localization.
- Cauditory comprehension.
- Dthe entrainment response.
27In order to target the goal of increasing reality orientation in a client with a diagnosis of a major dissociative disorder, a music therapist should use which of the following techniques?
1. improvisation
2. guided imagery
3. song-writing
4. singing- A1, 2, and 3 only
- B1, 2, and 4 only
- C1, 3, and 4 only
- D2, 3, and 4 only
28A 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
- Athe intern is over-identifying with the client's pathology.
- Bthe client's transference toward the intern provides insight into the client's relationship problems.
- Cthe intern examine how her counter-transference is limiting her therapeutic objectivity.
- Dthis experience challenges the intern's adequacy to treat this client.
29Confidential information from a music therapy assessment and treatment plan may be revealed under all of the following circumstances EXCEPT
- Ato the appropriate authorities, if it is believed that the client or another individuals is in imminent danger.
- Bto professionals directly related to the case or situation.
- Cwhen the client agrees to the releases of that information.
- Dwhen the clients insurance company requests it.
30Musical assessment of executive functions in a patient with a traumatic brain injury (TBI) can BEST be achieved by
- AProgressive Muscle Relaxation (PMR).
- Bcreating an original composition.
- Csinging familiar songs.
- Ddancing to familiar music.
31During 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 would be the BEST treatment recommendation for this client?
- Aindividual sessions emphasizing sensory awareness and stimulation
- Ba small rhythm group emphasizing group cohesiveness
- Ca music appreciation group emphasizing reminiscence and life review
- Dindividual sessions emphasizing reality orientation
32In an educational setting, all of the following are sources for assessment data EXCEPT
- Athe school record.
- Bclient consultation.
- Cpeer interview.
- Dclinical observation.
33The music therapist does not agree with a treatment team decision regarding client treatment. Which of the following is the BEST action for the therapist to take?
- AAdhere to the treatment team decision despite the therapist's disagreement.
- BExpress disagreement and independently revise the treatment plan.
- CDisregard the treatment plan and proceed based on best professional judgment.
- DWork to resolve the issue with the treatment team.
34A client with dysphasia should be referred to which of the following professionals?
- Aphysician
- Bspeech/language pathologist
- Cphysical therapist
- Doccupational therapist
35During a music therapy session, a 52-year-old inpatient describes his plans to kill his ex-wife. The music therapist should
- Amaintain confidentiality and not share this information with anyone.
- Bnot frighten his wife by calling her but contact his wife's family and request that they tell her in person.
- Cpost the patient's intention on the internet to warm the public of the potential threat.
- Dconsult federal, state, and local regulations and organizational policies and procedures to determine what to do.
36When conducting research, a music therapist should do which of the following?
- AOmit any information which may discourage participation in the advertisement to recruit research participants.
- BObtain consent from participants when using deception in research.
- CObtain informed consent from participant prior to their involvement in the study.
- DCollaborate with funding agencies who may potentially benefit financially from outcomes.
37A music therapist wishes to obtain assessment data on a school age girl who is in foster care. The child has been recommended for music therapy services in her home. The music therapist should use which of the following resources?
1. reports from her primary teacher
2. questionnaire completed by a foster parent
3. interview with the biological mother
4. observation of the child in the home environment- A1, 2, and 3 only
- B1, 2, and 4 only
- C1, 3, and 4 only
- D2, 3, and 4 only
38Which 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?
- Aaphasia
- Bataxia
- Cdysphagia
- Ddystexia
39A music therapist is playing a CD with lively music that contains a driving beat. A young client who has never been known by the therapist to have a seizure experiences one during this intervention. Which of the following is the BEST course of action for the music therapist in response to this occurrence?
- AConclude that the seizure was caused by the music and discontinue music therapy.
- BDiscontinue music therapy until the child is evaluated by a neurologist.
- CContinue music therapy and recommend that the client see a doctor for medication.
- DContinue with the intervention and let the teacher know that the client had a seizure during music therapy.
40When an initial referral is received for a music therapy assessment in a hospital setting, what intake information about the patient should the music therapist obtain FIRST?
- Ainsurance provider, status, and length of coverage
- Bname, medical record or ID number, and date of birth
- Conly the family's explanation and perspective of the current medical situation
- Dpsychological and educational needs
41A client has recently been admitted to a psychiatric facility with a diagnosis of bipolar disorder. The client comes to a group music therapy session exhibiting sleepiness and sluggish demeanor. Which of the following MOST likely accounts for this presentation?
1. side effects of newly prescribed medication
2. symptoms of depression
3. symptoms of mania
4. symptoms of anxiety- A1 and 2 only
- B1 and 3 only
- C2 and 4 only
- D3 and 4 only
42Which of the following chord diagrams represents a I, IV, V7 chord progression on the guitar in the key of C ?
- AD, G, A7
- BC, F, G7
- CE, A, B7
- DEm, Am, D7
43While completing an assessment on a patient who is 10-days post stroke, the 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. The music therapist should
- Adiscontinue the music therapy assessment and make recommendations to another type of therapy.
- Bcontinue the assessment to determine if music can be used effectively with the patient.
- Cuse only non-musical assessment tools to avoid agitating the patient.
- Ddiscuss the spouse's comment with the treatment learn and make a team decision on ow to continue.
44When practicing "universal precautions," a music therapist should
- Awork with sick patients in isolation from healthy patients.
- Banticipate differing levels of precautions based on patient diagnosis.
- Cgroup together the HIV positive patients.
- Dwear gloves when in contact with any patient's bodily fluids.
45The MOST discriminating musical experience to assess a client's fine motor skills would be to ask the client to
- Aplay a scale on the piano.
- Bstrum the strings on an Autoharp.
- Cimitate rhythms on the tambourine.
- Dmarch and clap in rhythm to a song.
46Which of the following must a music therapist following best practice adhere to?
1. Stay informed about current research evidence for clinical treatment.
2. Stay current with regulations related to reimbursements for treatment.
3. Assure that the best line of musical instruments is available to the facility.
4. Include functional non-musical behaviors in assessment and documentation.- A1, 2, and 3 only
- B1, 2, and 4 only
- C1, 3, and 4 only
- D2, 3, and 4 only
47Which of the following is the MOST structured group songwriting experience?
- AAsk clients to write a melody and lyrics in their favorite style of music.
- BBreak the group into pairs and ask the clients to write lyrics to a melody of their choice.
- CAsk clients to write lyrics about their treatment and match the lyrics to a familiar melody.
- DAsk clients to fill in the blanks to a familiar song where key words have been deleted.
48A music therapist engages a client in a stress-relieving exercise that involves tensing and relaxing various parts of the body while listening to client-preferred sedative music. This technique is known as
- Asystematic desensitization.
- Bprogressive muscle relaxation.
- Cautogenic training.
- Dapplied relaxation training.
49Which of the following is the BEST way to assess a client's rhythmic stability?
- AInstruct the client to maintain a rhythmic ostinato.
- BAsk the client to reproduce a rhythmic pattern after a 2-minute interval.
- CAsk the client to imitate various rhythmic patterns.
- DHave the client initiate various rhythmic patterns.
50Under HIPAA Privacy Rules, the music therapist must remove which of the following types of data when "de-identifying" client information?
1. the client's street address
2. the client's social security number
3. the client's state of residence
4. the client's email address- A1, 2, and 3 only
- B1, 2, and 4 only
- C1, 3, and 4 only
- D2, 3, and 4 only
51A music therapist is working to increase a patient's vital lung capacity. This goal would MOST commonly be addressed in which of the following conditions?
- AAlzheimer's disease
- BWilliams syndrome
- CRenal failure
- DQuadriplegia
52A music therapist utilizing the behavioral model or approach might utilize which of the following techniques?
- Afree assocation
- Btask analysis
- CRhythmic Auditory Stimulation
- Dautogenic relaxation
53Which of the following statement reports objective information about a client?
- A"The client threw the maraca toward the therapist."
- B"The client played the maraca with obvious enjoyment."
- C"The client deliberately threw the maraca on the floor."
- D"The client plays the maraca when she is in a good mood."
54Which of the following can be used to assess a client's kinesthetic perceptual abilities?
- Asongwriting
- Bear training
- Cmovement to music
- Dcall and response singing
55A music therapist is working with an individual who is moderately affected by a traumatic brain injury (TBI). Which of the following experiences would require the highest level of executive functioning for this client?
- Acomposing the melody of a song
- Badding CDs to one's personal collection
- Cselecting an instrument for a rhythmic improvisation
- Dchoosing a song for the group to sing.
56Before and after a music therapy session for pain management, the music therapist collects the following data from a 10-point scale for two clients:
Client 1 Client 2
Pre-treatment 9 8
Post-treatment 7 5
After the session, which of the following is the MOST accurate conclusion the music therapist should draw?- AClient 1 is experiencing more pain than Client 2.
- BClient 1 was experiencing more pain than Client 2 at the start of the session.
- CBoth clients reported a reduction in pain.
- DThe pain management session was successful for Client 2 , but not for Client 1.
57An adult with dementia screams and hits when a nursing assistant attempts to help her to the shower. Since the nursing staff know that the client responds positively in music therapy, the music therapist is asked to assist. Which of the following is the MOST useful type of music for this situation?
- Anew-age relaxation music
- Blively, energetic music
- Ca slow movement from a classical sonata
- Dmusic form the client's young-adult years
58A music therapist is working with a 30-year-old client in a psychiatric facility. The client's mother is developing dementia. She is distressed by family responsibilities because, as the oldest daughter, she is expected to put the needs of her aging mother ahead of her own needs and those of her husband and children. Placement of the client's mother in a nursing home is viewed negatively because of cultural expectations. What is the music therapist's BEST course of action to assist this client?
- AWrite a song that encourages her to place her needs over her family's expectations.
- BImprovise on the idea of individual freedom to develop her courage to place the mother in a nursing home.
- CTeach the client to use progressive relaxation with music.
- DEngage the client in songwriting as a distraction from her anxiety.
59In a standard 12-bar blues form, the chord in the ninth measure is the
- Atonic.
- Bsubdominant.
- Csubmediant.
- Ddominant.
60The music therapist is working with a group of adult inpatients with psychiatric disorders. The group has epxressed feelings of guilt and hopelessness and are exploring these feelings in the music therapist setting. Which of the following techniques are MOST appropriate for a music therpaist working from a cognitive approach?
1. lyric analysis
2. imagery and music
3. relaxation and music
4. song-writing- A1 and 2 only
- B1 and 4 only
- C2 and 3 only
- D3 and 4 only
61A facility administrator sees the benefits of the music therapy day treatment program for psychiatric outpatients and requests that these services be offered to the psychiatric inpatients. Which of the following should the music therapist do in order to provide a safe environment for the inpatients?
- AImplement the same treatment plan for the outpatients as for the inpatients because of past success.
- BFind a treatment plan in a reputable academic reference and simulate those interventions for the inpatient group.
- CIntegrate the social work treatment plan and add musical opening and dosing interventions.
- DIdentify the differences in the cognitive, emotional, and psycho-social needs between the outpatients and inpatients.
62When a client reaches some of his goals in less time than expected, the music therapist should
- Aterminate treat.
- Brevise the treatment plan.
- Cconsult with others professionals.
- Dwrite up a treatment summary.
63Which of the following responsibilities does the music therapist have to the client during the treatment evaluation?
1. analysis of all available data to determine the effectiveness of therapy.
2. reliance on anecdotal information from non-music therapy professionals.
3. communication with the client, client's family, caregivers, or personal network.
4. recommendations and referrals as indicated.- A1, 2, and 3 only
- B1, 2, and 4 only
- C1, 3, and 4 only
- D2, 3, and 4 only
64A music therapist in a hospital is asked to see a 39-year-old man who has recently suffered a severe brain injury and is in a great deal of pain. During the assessment, the patient becomes increasingly agitated and complains that his pain has intensified. The music therapist should
- Aspeak to the nurse about increasing the patient's pain medication.
- Brecognize that music therapy may be contraindicated at this time.
- Ccontinue the assessment and report his pain scale score.
- Dgradually desensitize the patient to music.
65Which of the following should the music therapist do to elicit participation during a drumming experience in a nursing home?
- ADescribe the history of drumming.
- BPass out individual rhythm scores.
- CTeach advanced drumming techniques.
- DUse various rhythms, meters, and tempos.
66Which of the following is the MOST pressing need for a client when the music therapist is terminating therapy because of a move to another city?
- Aunderstanding the reason for the therapist's leaving
- Bknowing where the therapist will be in the future
- Cexpressing feelings about the loss of the relationship
- Dmeeting the therapist who will replace the music therapist who is leaving
67A music therapist in an adult day care center is leading a large group instrumental improvisation. The group contains clients with a wide range of cognitive impairments. Which of the following is the BEST approach to engage clients in a structured improvisation?
- AGive the clients hand drums and instruct them to keep a steady beat.
- BProvide a variety of instruments to clients with mild cognitive impairments and drums to those with severe cognitive impairments
- CAssign specific instruments to clients and have them read color-coded charts.
- DAllow clients to select instruments and cue them to play at specific times.
68What is a programmatic consideration to be addressed during the initial treatment planning phases?
- Aselection or design of a data collection system to use during treatment
- Bdocumentation of each patient interaction including telephone calls, faxes, e-mails, and missed calls
- Cassessment and identification of the potential benefits and detriments oftermination
- Drequired involvement of the client and family members in the treatment planning process
69The task of having children clap their hands to a rhythmic stimulus could be BEST used to assess
- Afine motor skills.
- Bsensorimotor integration
- Caffective responses.
- Dsocial integration
70A music therapist working with a group of nine 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?
- Aa familiar song
- Ban unfamiliar song
- Ca song with an allegro tempo
- Da song with an adagio tempo
71A music therapist is accompanying a group of clients with schizophrenia who are on an acute unit. The group is playing non pitched percussion instruments to a popular song. To provide structure for the group, it is MOST important that the therapist
- Amaintain a steady beat.
- Breflect the group members' various beats.
- Cstop the song if the tempo varies.
- Dimprovise over the playing of the group.
72A music therapist working in a women's shelter is asked to see a client who has expressed an interest in music. The therapist is provided with little background information. At their first meeting, the therapist notices that the woman's face and arms are covered with bruises. When the woman begins to sing about how happy and in love she is, the music therapist's BEST course of action would be to
- Aprovide supportive music to develop trust.
- Bsing about other people in similar situations.
- Cstop the song to question the woman about how she got her bruises.
- Dpoint out that the woman's lyrics do not seem to much her circumstances.
73Over the course of three months, a music therapist group for people with Parkinson's disease has completed the treatment plan objective with 40% accuracy during the first month, 75% accuracy during the second month, and 90% accuracy during the third month. Which of the following is the BEST treatment plan option for the next month?
- ARepeat the treatment plan and include a reward at the end of the sessions.
- BDiscontinue treatment since the group members have made remarkable improvement.
- CModify the treatment plan as a group, letting the participants rewrite the session plan according to their perceived abilities.
- DReview documentation from the past sessions and evaluate possible modifications of the treatment plan.
74While improvising with a client, the music therapist introduces new rhythmic and melodic motives with changes in meter and key. The therapist is MOST likely attempting to
- Astabilize the feelings expressed by the client.
- Binterpret and clarify the client's improvisation.
- Credirect the client from a potentially rigid way of playing.
- Dreflect emotions and energy of the client's improvisation.
75A music therapist working with a child with a pervasive developmental disorder is being reimbursed by the parents medical insurance company. The company has requested an update on the child's progress to determine if they will continue to pay for music therapy services. Which of the following is the BEST documentation the music therapist can provide the insurance company in this situation?
- Asummary of the initial assessment and progress notes
- Bcopy of the data collected by the music therapist since the child began music therapy services
- Cgraph documenting client progress on music therapy goals and objetives
- Dnarrative summary of music therapy goals and objective with graphic representation of client proress
76An 18-year-old client who functions on the low end of the autism spectrum will be moving into a group home in another town after living with his family his entire life. He has been receiving music therapy services for 15 years but will no longer receive music therapy in his new setting. To help the client express his feelings about the upcoming move and the termination of his music therapy services, the music therapist should
- Ause improvisation to allow the client to explore and express his emotions.
- Bengage the client in a series of Guided Imagery and Music (GIM) sessions to target loss through discussion of feelings.
- Cdevelop lyric analysis handouts using blues songs to prepare the client to face and express sadness related to the upcoming loss.
- Dtake the client to participate in his hometown Very Special Arts Choir to help with his transition.
77Which of the following diatonic chord progressions BEST fits this melody?
Soprano, C, 4/4 s|m' - - r' d' t | l - - t d' r' | r' - - d' t l | s - - - ||- AC, Am, D7, G
- BEm, D, F, C
- CC, F#m, Dm7, G
- DAm, F, D7, C
78During a music therapy session, a client asks the therapist why "God afflicted her with terminal cancer." Which of the following is the therapist's MOST appropriate immediate response?
- AExplain that the illness must be God's will.
- BState that her questions should be addressed by a chaplain.
- CExplain that God would not deliberately afflict someone with cancer.
- DDiscuss the client's feelings toward God.
79A 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 refused to stand up and dance with his wife. The BEST intervention would be to recommend that the wife
- Awatch a big-band dance video with her husband.
- Bsing to her husband as they sit facing one another.
- Chold her husband's hands and move in time to the music.
- Dsit silently next to her husband while they listen to the music.
80A 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?
- AA7
- BB7
- CC7
- DE7
81Photography and video during music therapy sessions with competent adults are acceptable
- Aunder no circumstances.
- Bonly when used for educational purposes.
- Cwith oral permission from the client and facility.
- Dwith written consent from the client and facility.
82An ego defense mechanism in which an individual attributes desires and impulses to others is
- Aprojection.
- Bassimilation.
- Cdissociation.
- Drationalization.
83A 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
- Afrequently remind the boy to stay in his seat and focus on the musical activity.
- Bdelineate a small area of the room to be used and remove possible distractions.
- Crequest that a classmate of the boy be present to act as a role model.
- Dobserved the boy's spontaneous actions to see how he reacts in this environment.
84A new music therapist with specialized training moves into a community which has only three 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
- Aschedule 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 the client.
- Bsuggest that the clients switch from their current therapists to him to allow continuity of service provision across the week from the same provider.
- Caccept these clients only after speaking with their current music therapists about the situation.
- Doffer suggestions to the clients about how to approach their current therapists to obtain referrals for provision of specialized music therapy services.
85A music therapist is seeing a bereaved 3-year-old child whose other recently died. The child is afraid to go to sleep at night and repeatedly asks questions. She frequently states, "I killed mommy." The child is MOST likely demonstrating
- Aawareness of feelings.
- Bmagical thinking.
- Cconcrete thinking.
- Dawareness of memories.
86When a music therapist is consulting with a client's family or significant others in the treatment planning process, it is appropriate to do all of the following EXCEPT
- Ainquire about the client's musical preferences.
- Bshare information about leisure resources available.
- Cshare histories of other clients for comparative studies.
- Dinquire about the family's involvement upon discharge.
87A 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?
- Atempo
- Bdynamics
- Centrances
- Dphrasing
88A music therapist is working with a group of adolescents in an inpatient psychiatric treatment facility. The music 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. The music therapist should
- Ainvite the new member to join in a group improvisation using percussion instruments.
- Bconduct a music and imagery session using music the adolescents enjoy.
- Cask a colleague to attend the group to help elicit responses from the new member.
- Dconduct lyric analysis using a popular song dealing with adapting to new situations.
89A 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?
- Abirth weight of the infant.
- Bpreferred music of the mother
- Cmusic the infant heard while in the womb
- Dcurrent stage of the infant's neurological develpment
90A music therapist working with an inmate convicted of homicide asks to read the hospital report from the inmate's recent hospitalization secondary to a suicide attempt. The music therapist may read the reports written by the psychiatrist, psychologist, social worker, and occupational therapists from the hospital if
- Athe music therapist uses his best professional judgement to determine legitimate need for this information.
- Bthe music therapist receives a letter from the inmate's wife suggesting that this information would prove useful.
- Cprofessionals who previously worked with the inmate in the hospital were directly involved with the cases.
- Dthe client consents to the release of the confidential information.
91During a music therapy session, clients hospitalized for chemical dependency express mixed emotions concerning the recent suicide of a former group member. To facilitate the grieving process, the music therapist should FIRST
- Avalidate and normalize the group's responses through music.
- Bprovide music relaxation training to redirect the client's' attention.
- Cengage the group in songwriting about suicide prevention.
- Dcomposes and rehearse a song for the memorial service.
92In a cardiac rehabilitation program for patients who have hand open heart surgery, a music therapist leads a weekly music therapy session immediately after the patient's exercises session. To BEST help the patient's learn to generalize stress management skills, the music therapist should
- Aprovide a songwriting experience in which the patients identify stressors and choose a coping strategy to try in the next session.
- Bguide a music-assisted relaxation experience and provide each patient with a copy of the exercise to use at home.
- Clead a drum circle encouraging each patient to release stress through drumming.
- Dteach keyboard skills and instruct the patients to practice daily when their individual stress level is at it's peak.
93A 17 year 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. The only thing that seems to provide interest is music. To assess possible causes of this behavior, the music therapist should FIRST
- Aobserve the student in other classes.
- Bdiscuss concerns with the guidance counselor.
- Cidentify current stressors in the student's life.
- Dreview the student's IEP.
94A music therapist working with a group of clients who are depressed has chosen a songwriting experience. To establish trust within the group, the therapist should
- Ainstruct each client to write and sing a solo verse for the song.
- Bemphasize proper use of rhyme schemes and musical from to provide structure.
- Ccompose a song using input from group members who participate.
- Dencourage each client to contribute a personal thought for use in the lyrics.
95The MOST likely goal of music therapy experiences, in which clients evaluate their own music performances, is to increase
- Amusic skills.
- Bsocial skills.
- Cself-awareness.
- Don-task responses.
96When selecting a music intervention for a client, the MOST important thing to take under consideration is
- Amusical preferences.
- Bmusical ability.
- Ctherapeutic goals.
- Dphysical ability.
97When preparing a hospital patient for termination of music therapy treatment, it is always necessary to
- Amake sure all treatment goals have been met.
- Bmake sure the patient is discharged to the least restrictive environment.
- Ccoordinate follow-up care to address any unmet treatment goals.
- Dprovide adequate closure for the patient.
98A group of clients would like to perform a Latin-American piece at a talent show at school. They have been improving a 3-2 rhythm with a variety of percussive instruments. Which of the following rhythmic patterns would provide the strongest accompaniment?
- AClave rhythm
- BWaltz rhythm
- CTango rhythm
- DCha-Cha rhythm
99In order to stay current with information on autism and best practices, the MOST reliable resource is
- Amagazine articles.
- Bworkshops.
- Cthe Internet.
- Dpeer-reviewed publication
100A client who is a resident in a nursing home is very withdrawn and appears to be out of touch with what is happening around her much of the time. The music therapist is attempting to assess her musical responses by playing and singing songs from a variety of popular styles and eras. Which of the following client responses MOST actively indicates her familiarity with a given style of music?
- Asinging the words to a song along with the therapist.
- Blooking at the therapist while the therapist sings.
- Cgently tapping her foot to the rhythm of the music.
- Dstraightening her posture.
101In a score, if a Bb trumpet is notated in the key of E, the piano is played in the key of
- AE
- BBb
- CD
- DAb
102When accompanying a client, which of the following provides the BEST structure?
- Arubato
- Bostinato
- Cstaccato
- Dritenuto
103A music therapist has observed a colleague falsifying continuing education documents. The therapist should FIRST
- Aconsult with the colleague involved.
- Bconsult with the colleague's supervisor.
- Creport the action to the facility's ethics committee.
- Dreport the action to the colleague's professional organization.
104A music therapist is working with a client with athetoid cerebral palsy who expresses an interest in playing the cymbals, but who 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?
- Aphysiatrist
- Bphysical therapist
- Cengineer
- Doccupational therapist
105In order to ensure the safety of the patient during ambulation, the BEST person for the music therapist to consult is the
- Anurse.
- Boccupational therapist.
- Cdance/movement therapist.
- Dphysical therapist.
106The BEST way to evaluate the potential of a treatment plan to meet a client's needs is to
- Aschedule a meeting with the client.
- Bdiscuss with another music therapist.
- Cconsult with the client's interdisciplinary team.
- Dschedule a meeting with the client's family.
107When using the iso-principle with a child exhibiting hyperactive behaviors, which of the following is the BEST tempo to use when beginning a music therapy session?
- Arubato
- Ballegro
- Candante
- Dmoderato
108A music therapist should refer clients to other professionals based on
- Aclient needs.
- Beconomic feasibility.
- Cstandard treatment plans.
- Davailability of other professionals.
109During a gait training session with music therapy, a patient with a traumatic brain injury (TBI) is having difficultly walking to the beat of the music. To correct this problem, the music therapist should FIRST
- Ahave the patient walk to a simpler auditory stimulus such as a metronome.
- Bask the patient to select preferred music for walking to the beat.
- Crefer the patient to a physical therapist for gait assessment.
- Dconclude that gait training is no appropriate for this patient.
110A music therapist has recently started a new job working with inner-city at-risk adolescents at a community center. To help adolescents identify and express their emotions, she introduces song-writing activities. Though the therapist has a strong background in jazz and classical music, she notices that the clients criticize her accompaniments. To BEST meet the client's needs, the therpaist should
- Adevelop therapeutic music lessons to teach basic music literacy.
- Bmove from song-writing to active music listening to broaden client's exposure to new musical styles.
- Cadapt the client's preferred music to the styles with which the therapist is most comfortable.
- Dseek out resources to learn more contemporary music styles.
111A music therapist is working with a process-oriented group of adults. The clients are playing keyboard, bass, guitar, and drums. The group stops playing because the drummer is intentionally playing faster than the other clients can play. The music therapist should FIRST
- Aallow the group to express how they are affected by the drummer's actions.
- Bplay the drums along with the dimmer to modify the tempo.
- Cincrease the proximity of the players to one another.
- Dconfront the drummer in front of the group to model direct communication.
112A 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 a opportunity for verbal processing afterwards. 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 and end. Afterwards, 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
- Athe improvisation did not enhance group cohesion.
- Bthe group members did not listen to one another's playing.
- Ceach person had his or her own subjective experience.
- Dthe clients needed more direction in the improvisation.
113A nurse has referred the mother of a six-year-old patient on the acute burn unit for music therapy services. According to the referral, the mother has withdrawn from her child and demonstrates apprehension when encouraged to interact with her. The BEST way for the music therapist to assess the current level of mother-child interaction would be through
- Aconsultation with the social worker and the nursing staff.
- Binterview with the father to gain his perspective.
- Cobservation of music-based play activities between mother and child.
- Dtherapeutic song-writing with the child and the music therapist.
114A developmental disorder in which there is a defect in the bony covering of the spinal cord that sometimes results in protrusion of the cord and meninges is called
- Ascoliosis.
- Bspina bifida.
- Chydrocephalus.
- Dspinal meningitis.
115A new music therapist is uncertain as to the clinical implications of music behaviors observed in a group setting. The BEST approach to understanding the nature of theses behaviors is to
- Aregard the behaviors as potentially pathological and develop treatment plans.
- Bregard the behaviors as potentially pathological and explore their etiology.
- Cdiscuss the behaviors with the client's families and significant others.
- Ddiscuss the behaviors with other music therapists familiar with this population.
116What type of scale on the keyboard uses only black keys?
- AAeolian
- BIonian
- CPentatonic
- DLydian
117Termination of music therapy treatment is appropriate when the
- Aclient has lost interest in the treatment.
- Btherapist is unable to establish a good rapport with the client.
- Cclient has met all outcome criteria.
- Dclient has stopped making progress toward current goals.
118Which of the following types of recording procedure is being employed when a music therapist uses a stopwatch to time how long a child marches to music.
- Aevent
- Bduration
- Ccontinuous
- Dfixed ration
119During a session on an adolescent psychiatric unit one of the clients plays his guitar to preferred music continuously, not allowing the other clients to suggest song. Another client, playing electric keyboard, turns up the volume of his instrument and begins to play different songs. The guitar player reacts by playing his instrument louder and faster. The music therapist should
- Atake the instruments away from the two clients and confront them about the behavior.
- Bend the group and report the behavior to the counselors.
- Csuggest the two clients leave the group and allow the others to continue.
- Dstop the music and process the disruption.
120A 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 patient shares her fears and life story before the use of any music intervention. After validating the patient's feelings, the BEST direction for the music therapist to take is to
- Adiscuss favorite songs important to the patient's life.
- Bimprovise soft guitar music to help the patient go to sleep.
- Ccomposes a song together reflecting the patient's disclosure.
- Dclose the session and bring the patient's favorite music to follow-up visits.
121Which of the following examples illustrate professional development?
- ADocument treatment plans, collaborate with others colleagues, and expand music repertoire.
- BConduct or assist with research, participate in continuing education, and engage in collaboration with other colleagues.
- CParticipate in research, set professional goals, and maintain client confidentiality.
- DParticipate in continuing education, comply with safety protocols, and review current research literature.
122In a residential facility, which of the following is the MOST reliable method for determining whether a client's progress has generalized?
- AEvaluate target behaviors of the client outside of the therapy setting.
- BConsult with direct care workers who are in contact with the client in the residential setting.
- CConsult progress notes written by other members of the client's multidisciplinary team.
- DEvaluate whether the clients behavior outside of therapy is appropriate to the context of the residential setting.
123A music therapist is assisting a terminally ill client who is preparing for his impending death. The BEST choice of music for the patient's final hours is music that has been
- Aselected by the client
- Bdesigned to elicit relaxation.
- Cselected previously by the family or significant others.
- Ddesigned for spiritual transformation.
124An 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 is the following is the MOST crucial aspect to consider?
- Aclient preference
- Bphrases length
- Ctessilura
- Dsong duration
125A music therapist is working with a stroke patient who demonstrates left neglect and diffciculty crossing mid-line. In order to address both needs through instrumental playing, the therapist should position a drum
- Ato the patient's right side and place a mallet in each hand.
- Bto the patient's right side and place a mallet in the right hand.
- Cto the patient's left side and place a mallet in the right hand.
- Ddirectly in front of the patient and place a mallet in the right hand.
126A client is referred to music therapy to increase on-task behavior and to encourage social interaction. After three months of weekly sessions, the client has not met the on-task objective, but social interaction has improved. The music therapist's BEST response would be to
- Achange the criteria of the on-task objective to challenge the client.
- Bidentify new goals the client may be more successful that completing.
- Crefer the client to a social skills group.
- Dre-evaluate the strategies and expected outcomes of the on-task objective.
127A client who only knows guitar chords in first position wants to learn a song with the tablature for the following chords: E, B7, A, c#, and f#. Which of the following transpositions BEST ensures successful playing of the song?
- AF, C7, Bb, d, g
- BD, A7, G, b, e
- CA, E7, D, f#, b
- DG, D7, C, e, a
128A 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.- A1, 2, and 3 only
- B1, 2, and 4 only
- C1, 3, and 4 only
- D2, 3, and 4 only
129A music therapist is working in a choral ensemble with a group of adults who have developmental disabilities. The groups long-term goal is to perform in the community. Which of the following will MOST likely affect the groups success?
- Asimplifying parts to meet individual group members' abilities
- Bchoosing music that is highly preferred by the group
- Cchoosing music with each group member is familiar
- Darranging the ensemble participants is based on musical ability
130During initial assessment, a patient answers questions about her spirituality and states, "I am very spiritual and religious." How should the music therapist interpret this information?
- ARecognize that spiritual music is specific to each region of the United States and provide music accordingly.
- BSince the music therapist is also spiritual and religious, she can assume that the patient shares the same spiritual belief system. There is no need to future explore the patient's perspective.
- CExplore what the patient means by "spiritual and religious" and openly discuss the patient's point view.
- DDetermine what the patient means by "spiritual and religious" and initiate a discussion about the merits of each spiritual belief system.
Informationen
- Beschreibung
- ~ For practice/ study only ~
- Autor
- Jessica H.
- Sprache
- English
- Aufrufe
- 39.977
- Verlauf
- Erstellt am 29 Jul 2016 · aktualisiert am 27 Jun 2019
- Schlagwörter
- Bewertung
- 4,5 von 5 · 12 Bewertungen Bewerte dieses Quiz