Answers + Rationale 2023, Verified Solution
A 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. 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)
C. This is the only choice that allows the music therapist to determine potential causal
factors
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.
C. Having the wife hold her husband's hands and move in time to the music with him is
an intervention that brings both partners together in an active interaction that
approximates dancing and facilitates intimacy.
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.
B. Once the client has discussed her fears and shared her story, she may be more
ready for sleep. Introducing soft guitar music at this point would be germane to
accomplishing the stated therapeutic goal.
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more withdrawn, presenting with a reduced emotional response and increased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.
D. When working with clients who have vascular dementia, re-evaluation of treatment
length and frequency, as well as type of interventions is an important aspect of care due
to the often sudden onset of symptoms and continued loss of functioning. While music
therapy can be beneficial, music can also, at times, be over-stimulating, possibly
causing distress.
When completing a behavioral assessment, information relating ONLY to
behaviors observed, not interpretation, is considered
A. subjective.
B. irrelevant.
C. prejudicial.
D. objective.
D. Behaviors that are observed are considered to provide objective information.
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
B. True. By reflecting the child's sounds and breathing with careful musical phrasing, the
child becomes aware that someone is listening to her and aware of her own sounds.
She feels accepted and understood.
"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
A. Psychosocial refers to quantity and quality of interpersonal interaction.
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
C. This is a strategy to address attention control. This focuses on the basic auditory
attention function of making the exercise increasingly longer by lengthening/augmenting
the notes.
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