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Exam (elaborations)

Complete Guide To the CBMT Board Certification Exam

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Complete Guide To the CBMT Board Certification Exam

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Complete Guide ToThe CBMT Board Certification Exam v v v v v v v




1. A 17 year old is demonstrating a sudden decline in grades, increased
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unexcusedabsences,andinabilitytoconcentratewheninschool.Facialaffecthas
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changed from friendly to flat.When approached,the student states he is fine.
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Reportsindicatetheclientrespondstomusic,soamusictherapyreferral is
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requested.To assess possible causes of the change in behavior,a music
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therapist should FIRST
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A. Observe the student in other classes v v v v v




B. Discuss concerns with the guidance counselor v v v v v




C. Identify current stressorsin the student's life v v v v v v




D. Reviewthestudent'sindividualizededucationplan(IEP):C.Thisistheonly
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choice that allows the music therapist to determine potential causal factors
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2. A music therapist is using ballroom dancing to facilitate intimacy in a
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relationship between a client,who has dementia,and his wife.During a ses- sion,
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theclient'sfavoritebig-bandmusicisplayed,butheishavingdifficulty standing
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up and dancing with his wife.The BEST intervention would be to recommend that
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the wife
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A. watch a big-band dance video with her husband. v v v v v v v




B. sing to her husband as they sit facing one another.
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C. hold her husband's hands and move in time to themusic.
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D. sitsilentlynexttoherhusbandwhiletheylistentothemusic.:C.Having the
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wife hold her husband's hands and move in time tothe music with him is
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aninterventionthatbrings bothpartnerstogetherinanactiveinteractionthat
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1/44 v v

,approximates dancing and facilitates intimacy.
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3. A 52-year-old woman hospitalized for ovarian cancer requests music ther- apy
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to help her relax and sleep. During the initial session conducted at bedtime,the
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clientsharesherfearsandlifestorybeforetheuseofanymusic intervention. After
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validating the client's feelings, the BEST direction for the music therapist to take
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is to
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A. discussfavorite songs importantto the client'slife.
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2/44
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,B. improvisesoft guitarmusicto helptheclientgo to sleep. v v v v v v v v v v




C. composea song together reflecting the client's disclosure. v v v v v v v




D. closethesessionandbringtheclient'sfavoritemusictofollow-upvisits.:B. Once
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the client has discussed her fears and shared her story, she may be more ready for sleep.
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Introducingsoft guitar music at this point would be germane to accomplishing the stated
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therapeutic goal.
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4. A music therapist has been jointly treating a client with vascular dementia and
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the client's daughter,once a week for one hour.Recently,the client has become
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morewithdrawn,presentingwithareducedemotionalresponseand increased
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passivity. Despite changes, the daughter continues to encourage the client to be
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active and
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engaged,yettheclientisagitatedandcombative.Whichofthefollowingisthe
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music therapist's BEST response?
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A. Continuetreatmentusingthemusictoaddressagitationandcombative- v v v v v v v v v




ness.
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B. Discontinuetreatmentastheclient'spassivitywillincreasewithdisease v v v v v v v v v




progression.
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C. Removethedaughterfrom themusictherapysessionimmediately. v v v v v v v v




D. Re-evaluate the session length and interventions used during music ther- apy v v v v v v v v v v




sessions.:D.Whenworkingwithclientswhohavevasculardementia,re-eval- uation of
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treatment length and frequency, as well as type of interventions is an importantaspectof
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careduetotheoftensuddenonsetofsymptomsandcontinued lossoffunctioning.While
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musictherapycanbebeneficial,musiccanalso,attimes, be over-stimulating, possibly
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causing distress.
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5. Whencompletingabehavioralassessment,informationrelatingONLYto
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behaviors observed, not interpretation, is considered
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A. subjective.

B. irrelevant.

C. prejudicial.

3/44 v v

, D. objective.:D.Behaviorsthatareobservedareconsideredtoprovideobjective v v v v v v v v v v




information.
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6. A7-year-oldgirlwithaseveredevelopmentaldisabilityisreceivingmusic
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therapyinaresidentialsetting.Sheisnonverbalandpronetobefearfuland
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anxious in new situations.When brought into the therapy room for her first
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session,sheactivelyresistsandbeginstocry.Themusictherapist,working in an
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improvisational model, might do which of the following?
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1. Meetthe childby playingmusic toexpress theintensity ofher crying.
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2. Reflect the child's sound and breathing with careful musical phrasing.
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3. Comfortthechildbyholdingandrockingherwhilesingingsoothinglyrics. v v v v v v v v v v v




4. Singwithoutwordssothechildhearsanothervoicethatcorrespondsto how
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she is feeling.
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A. 1,2,and 3 only v v v v




B. 1,2,and 4 only v v v v




C. 1,3,and 4 only v v v v




D. 2,3,and 4 only:B.True.By reflectingthe child's sounds and breathing with careful
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musicalphrasing,thechildbecomesawarethatsomeoneislisteningtoher and aware of
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her own sounds.She feels accepted and understood.
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7. "Sinceheradmission,Maryhasspentmostofhertimeinherroomandhas not
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participated in unit activities." Under which assessment domain would this
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statement MOST likely be found?
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A. psychosocial
B. emotional
C. communicative
D. sensorimotor:A.Psychosocialreferstoquantityandqualityofinterpersonal v v v v v v v v v




interaction.
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8. Whenplayingafamiliarsongwithayoungclient,whichofthefollowing
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therapeutic exercises will MOST effectively increase sustained attention?
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A. altering note order v v




B. varyingkeysignature v v




4/44 v v

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