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An 11 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 students life D. review the student's
IEP - 🧠ANSWER ✔✔C. Identify current stressors in the students life (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 is 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 on 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 -
🧠ANSWER ✔✔C. Hold her husband's hands and move in time to the music
(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. dose the session and bring the client's favorite music to
follow-up visits - 🧠ANSWER ✔✔B. Improvise soft guitar music to help the client
go to sleep (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 that 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 therapists 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 - 🧠ANSWER ✔✔D. Re-evaluate the session length
and interventions used during music therapy sessions (When working with clients
who have vascular dementia, re-evaluation of treatment length and frequency, as
well as type of intervention is an important aspect of care dur 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 competing a behavioral assessment, information relating ONLY to
behaviors observed, not interpreted, is considered... A. subjective B. Irrelevant C.
Prejudicial D. Objective - 🧠ANSWER ✔✔D. Objective (Behaviors that are
observed are considered to provide objective information)
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, A 7 year-old girl with severe developmental disabilities 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 - 🧠ANSWER ✔✔1, 2, and 4 only. 1: when
hearing music that reflects the intensity of her crying, the child feels accepted and a
musical relationship begins to form; 2: 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; 4:
Since the child is nonverbal, singing without words can be effective way to make a
connection. crying often turns into tonal singing when supported by the therapist.
singing is a natural and pleasurable form of expression for both the verbal and
nonverbal.
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.