CBMT Practice Test Questions and Answers Rated A+

CBMT Practice Test Questions and Answers Rated A+ 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 identify current stressors in the student's life. 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 improvise soft guitar music to help the client go to sleep. i Behaviors that are observed are considered to provide ______ information. 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. 4. Sing without words so the child hears another voice that corresponds to how she is feeling. the goal isn't to change the mood of the client, but to allow them their full range of emotion while also making it musical _________ refers to quantity and quality of interpersonal interaction psychosocial _______ refers to expressive and receptive language skills. communicative When playing a familiar song with a young client, which of the following therapeutic exercises will MOST effectively increase sustained attention? changing note duration This focuses on the basic auditory attention function of making the exercise increasingly longer by lengthening/augmenting the notes. The four components of a SOAP note are... Subjective, Objective, Assessment, and Plan Evidence-based practice (EBP) principles require music therapists to take which of the following into account when planning treatment? 4 things 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 song with an allegro tempo. it's most important to meet the children where they are _________ refers to the therapist's reaction to the client based on past personal experience Countertransference refers to the therapist's reaction to the client based on past personal experience 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? tempo 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? individual sessions emphasizing sensory awareness and stimulation sensory stimulation and awareness should be target because the client doesn't respond to anything that isn't music 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? Continue the assessment to determine if music can be used effectively with the patient. recommendations shouldn't be made until an assessment is completed 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 the therapist's expertise in PTSD and current caseload. The music therapist should perform only those duties for which he/she has been adequately trained, not engaging outside his/her area of competence. Furthermore, the therapist must have adequate time available to schedule regular sessions and complete the required documentations. _____ tuning is D-G-D-G-B-D and is one of the easiest alternative guitar tunings to play. It is most commonly found in Folk and Blues music. open G ____ tuning is D-A-D-G-A-D and is most commonly found in Celtic music as well as English and Irish folk. modal D _____ tuning is D-G-D-G-C-D and is most commonly found in Celtic music as well as Rock and Heavy Metal. modal G _____ tuning is D-A-D-F#-A-D and can be played with a variety of styles and is most popular with slide guitars. open D 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? stop the humming. this response immediately addresses the need of the infant and allows the music therapist to assess whether music was the stressor. The theory that personalities are shaped and motivated by conscious and unconscious forces, with a strong influence from childhood experiences is psychodynamic. ____ theory is an approach that attempts to explain human behavior by understanding thought processes. cognitive ______ theory assumes that the whole person is continually being motivated by one need or another and that people have the potential to grow toward psychological health, that is, self-actualization. holistic _____ theory focuses on a person as a unique being as well as the choices that they can currently make empowering them to take responsibility for their well-being. existential how should a supervisor treat an intern who is transgender Seek supervision from a healthcare professional with expertise in lesbian, gay, bisexual, transgender, questioning (LGBTQ) issues. 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 document the absence. Documenting the client's whereabouts is a legal duty. The chart is a legal document that can trace the whereabouts of the client. Safety is a primary concern. A music therapist using the behavioral model or approach might use which of the following techniques? task analysis. this is primarily used in a behavioral approach or model A music therapist using the psychodynamic model or approach might use which of the following techniques? free association A music therapist using the neurological approach or model or approach might use which of the following techniques? rhythmic auditory stimulation A music therapist using the guided imagery model or approach might use which of the following techniques? autogenic relaxation In a standard 12-bar blues form, the chord in the ninth measure is the dominant. I I I I IV IV I I V IV I I the ___ syllable is the easiest consonant to form ma During an initial music therapy assessment of an individual who is comatose, the presentation of loud and abrupt auditory stimuli is used to assess the startle reflex In a residential facility, which of the following is the MOST reliable method for determining whether a client's progress has generalized? evaluate target behaviors of the client outside the therapy setting A client newly diagnosed with Parkinson's disease should anticipate which of the following symptoms early in the course of the disease? shaking, rigidity, and slowness of movement Which of the following speech disorders is MOST likely caused by a stroke or damage to the brain? aphasia _____ is the inability to swallow, therefore, it is a feeding disorder. dysphagia ____ is the lack of voluntary muscle movement ataxia ____ is shortness of breath dyspnea The MOST likely goal of music therapy experiences in which clients evaluate their own music performances, is to increase self-awareness. these must be developed before one can evaluate personal performance An ego defense mechanism in which an individual attributes desires and impulses to others is projection ____ is a developmental process describing a person's ability to comprehend and integrate new information. assimilation _____ is the splitting off of behaviors, affect, sensory stimuli, and/or memories from conscious awareness, usually so that the individual may cope with traumatic events. dissociation ____ involves an individual's attempts to justify or make consciously tolerable feelings, behaviors, or motives that otherwise would be unacceptable. rationalization Which of the following should a referral for an initial music therapy assessment include? reason for referral A bed-bound resident shares a room with another resident in a skilled nursing facility. Before providing music therapy services to the resident, the music therapist should seek permission from the resident to include the other resident in music therapy A music therapist is working to increase a client's vital lung capacity. This goal would MOST commonly be addressed in which of the following conditions? quadriplegia. this involves paralysis from the neck down, critically impairing breathing During a music therapy session, a client begins to discuss a traumatic experience. This evokes a very personal response in the music therapist having experienced a similar trauma. Which of the following should the therapist do NEXT? Continue the session to address the client's immediate needs and utilize supervision as needed. sharing about one's personal trauma is an inappropriate response as it violates ethical boundaries _____ recording involves measuring the length of time a client performs (or does not perform) a specified behavior within a specified time period. duration ____ recording involves counting the number of times a specific behavior occurs within a specified time period. event ____ recording involves observing and making note of all target behaviors that occur within a specific time frame. continuous ____ _____ involves scheduled reinforcement. It is not a method of measuring behavior. fixed ratio A 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. Which of the following should be the therapist's FIRST action? Allow the group to express how they are affected by the drummer's actions. allowing the group to express how they're affected involves the clients in process-oriented problem solving A 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 for working with this client? observe and musically reflect his responses to the environment. When 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? allegro. the iso-principle initially matches the music to the status of the client. Allegro is a quick, lively tempo that best matches the child's hyperactive behaviors A 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 progressive muscle relaxation _____ _____ generally focuses on bodily sensations and breathing, rather than on relaxing and tensing muscle groups. autogenic training ____ _____ training involves using relaxation techniques that have already been learned in real-life situations in which anxiety is aroused. applied relaxation A physical therapy department is developing a wellness exercise program. The physical therapists ask the music therapist to assist in selecting music for use during exercises for clients with gait control issues. To represent the BEST collaborative effort, the music therapist should suggest that the music therapy co-lead the exercises with the clients When using receptive methods of music therapy with clients with psychotic disorders, a music therapist should consider using accompanying activities (e.g., movement, drawing) to help connect the clients' internal experience with external reality. When selecting a music intervention for a client, the MOST important thing to consider is therapeutic goals A client's goals and objectives should be ____ , ____ , and ______ measurable, achievable and time-bound In order to ensure the safety of a patient during ambulation, the BEST person for the music therapist to consult is the physical therapist A nurse has referred the mother of a 6-year-old child 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 observation of music-based play activities between mother and child. A 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 maintain a steady beat. Maintaining a steady beat is the foundation of providing structure to a music therapy group. When practicing "standard precautions," a music therapist should wear gloves when in contact with a patient's bodily fluids A client with Narcissistic Personality Disorder is receiving group music therapy services. When one of the other group members announces she has been diagnosed with cancer, the client responds by asking the music therapist to change the subject. Which of the following should the music therapist do to BEST address the needs of the client with Narcissistic Personality Disorder? Engage the group in musical experiences that encompass emotional mirroring and reflection. A music therapist is working with a client with athetoid cerebral palsy who expresses an interest in playing the cymbals, but 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? occupational therapist. Adaptation of devices for functional purposes is within the scope of practice of an occupational therapist. Therefore, this is the professional most likely to be able to assist the music therapist in adapting the mallet so that the client can play the cymbals. and a PT typically works with large motor issues such as strength, endurance and flexibility A 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, which of the following is the therapist's BEST action? provide supportive music to develop trust ___ refers to slowing down immediately and does not refer to providing structure. ritenuto ____ refers to a musical pattern that is repeated precisely throughout a composition, thus providing melodic structure in form, rhythm, and possibly melody. ostinato For 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. Which of the following is the therapist's BEST action? contact hospice and arrange for transition to the faculty's music therapist. a MT can't enter a facility or provide services as a MT without authorization When working to sustain the attention of a child during a medical procedure, the MOST important attribute of the music to consider is rate of change. Based on principles of habituation and dishabituation to an auditory stimulus, controlling the rate of change that occurs within a music stimulus would be utilized to sustain the listener's attention. The therapist would determine the rate of change based on individual response patterns of the client. A music therapist in an adult day care center is leading a large group in 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? allow clients to select instruments and cue them at specific times. ____ approach addresses gait dysfunctions that stimulate music perception and pair it with motor responses. neurological ______ approach identifies behaviors, replaces negative inaccurate thoughts, and changes the rewards for positive behaviors; this does not directly address gait dysfunctions. behavioral ____ approach believes that people have an ordered set of needs that must be fulfilled in order to achieve personal growth; this does not directly address gait dysfunctions. humanistic _____ approach uses play, and specifically looks at how a child is developing during the most significant period of development. Although the subject may be of this age group, it would still require a neurological approach to directly address gait dysfunctions. developmental Providing a client with song and intervention choices as well as ample opportunities for independent instrument play is an example of addressing autonomy A music therapist has been hired by a facility to establish a new music therapy program. Which of the following is the MOST effective way to seek referrals? Conduct a music therapy in-service for the facility staff and encourage referrals _____ _____ generally focuses on bodily sensations and breathing, rather than on relaxing and tensing muscle groups. autogenic training A music therapist is working with an individual who is moderately affected by a traumatic brain injury (TBI). Which of the following experiences requires the highest level of executive functioning for this client? composing the melody of a song. complex executive functions involving several decisions about musical elements are required to compose a melody the relationship between 2 or more people in which personal boundaries are permeable and unclear. This often happens on an emotional level in which 2 people feel each others' emotions enmeshment extreme sensitivity to sound associated with a responsiveness to music and an ability to make very fine auditory discriminations hyperacusis the test must measure what it is supposed to validity the test produces accurate results reliability program designed to improve cognitive and psychomotor function in persons who are confused and disoriented reality orientation occurs when there is no closure or comprehension. this occurs after the loss and is not specific to the loss of a loved one but any loss that leaves one questioning ambiguous loss process and reaction to a significant loss. occurs after the loss and typically the loss of a loved one, but could also be the loss of a job/ability bereavement includes concern for the dying and preparation for the loss. this stage can allow people to resolve issues with the dying person and say goodbye anticipatory loss ability to control and regulate urges, behaviors, and emotions self-regulation a faculty administrator sees the benefits of MT day treatment program for psychiatric outpatients and wants it for inpatients too. the MT must ... identify the differences in the cognitive, emotional, and psycho-social needs between outpatients and inpatients. to meet needs of all the patients, the MT must recognize the health conditions for which music experiences are contraindicated and adapt treatment ___ ___ can best facilitate spatial awareness by directing clients to move their bodies and/or body parts in space live music an adults with dementia screams whenever the nurse tries to get her in the shower. what kind of music should she listen to in order to calm down? music from her young-adult years. this will most likely be preferred and have a calming effect on the client, more than a classical sonata the best thing to do when beginning with a new client is developing trust a music therapist's MT-BC credential has lapsed. the therapist's employer encourages continuation of the use of the MT-BC credential when signing documents for reimbursement purposes. the best thing for the therapist to do is ... CBMT recertification and sign without the MT-BC until obtained _____ ______ _____ facilitate the recognition of body position and activity through physical sensations stimulated by movement kinesthetic perceptual abilities the foundation of providing structure to a music therapy group is maintaining ... a steady beat an 18 year old with ASD is moving into a group home. he will on longer get music therapy in his new setting. to help him express his feelings, the MT should use improvisation to allow him to explore and express his emotions. this activity will help to prepare the client to get in touch with and express emotions secondary to losses involved in the move which of the following should a MT do to elicit participation during a drumming experience in a nursing home? use various rhythms, meters and tempo, and then watch for their participatory responses a young man with cancer has MT to address feelings. to best encourage choice-making and instill control, the MT should use songwriting. this encourages both choice-making and control termination of MT treatment is appropriate when ... the client has met all outcome criteria the task of having children clap their hands to a rhythmic stimulus is best used to assess sensorimotor integration. this requires integrating the rhythmic stimulus with the movement which of the following types of recording is being used when a MT uses a stopwatch to time how long a child marches to music duration at the conclusion of treatment, a MT should document all the following ... (3) termination plan, follow-up procedures, and client's current functioning during the assessment process, it is acceptable for a MT to obtain client information from a treatment team member. active treatment team members can exchange information about a client a boy with autism is receiving MT. the mother reports that each time he watches TV he blasts the volume. the MT should develop interventions to address discriminating and manipulating different auditory stimuli. including opportunities for different stimuli best supports a more appropriate replication of real life experiences a MT referral is made for a client with severe agitation. however, during the first session the client was pleasantly engaging. what's the best plan of action MT should identify any causes that may have impacted the client's current level of functioning in a cardiac rehabilitation program for patients who have had open heart surgery, a MT leads a weekly session immediately after they exercise. to best help them learn to generalize stress management skills, the MT should guide a music-assisted relaxation experience and provide each patient with a copy of the exercise to use at home 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? current stage of the infant's neurological development 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? invite the new member to join in a group improvisation using percussion instruments. group improvisations allow the individual to participate at a comfortable level 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? adapt the music to reflect the current needs and functioning of the patient and document findings 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 may be experiencing a lot of pain but may not associate a crying face with her current feelings. research shows that some kids may not circle a crying face if they are not crying themselves ___ is the same as natural minor aeolian ___ is a major scale ionian ____ is a major scale with a raised fourth lydian counting the number of verbalizations during a MT session is an example of ___ recording frequency ___ refers to a person's vocal range tessura a music therapist its working with a group of nonverbal and non ambulatory clients. to increase their one-to-one social interactions the MT introduces a dyadic movement experience. which of the following should the therapist ask the group to do? mirror the movements of a partner a MT is working in an adult outpatient chemotherapy clinic. The therapist notices an unfamiliar patient who is anxiously pacing in the waiting area. The patient tells the therapist he is extremely frightened of the intravenous needles used for the treatment. Before they finish talking, the patient is called in for the procedure. If there are no scheduled appointments, the therapist should offer immediate therapeutic intervention with the agreement of the patient and an order for treatment a MT records observations of a client's self-stimulatory behaviors every 2 minutes. this type of recording is referred to as interval