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
v v
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
v v v v v v v v v v v v v v
wife hold her husband's hands and move in time tothe music with him is
v v v v v v v v v v v v v v v
aninterventionthatbrings bothpartnerstogetherinanactiveinteractionthat
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1/44 v v
,approximates dancing and facilitates intimacy.
v v v v v
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
v v v v v v v v v v v v v v
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
v v
,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.
v v v v v v v v v v v v v v v v v
Introducingsoft guitar music at this point would be germane to accomplishing the stated
v v v v v v v v v v v v v v
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?
v v v v
A. Continuetreatmentusingthemusictoaddressagitationandcombative- v v v v v v v v v
ness.
v
B. Discontinuetreatmentastheclient'spassivitywillincreasewithdisease v v v v v v v v v
progression.
v
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
v v v v v v v v v v v v v v v
careduetotheoftensuddenonsetofsymptomsandcontinued lossoffunctioning.While
v v v v v v v v v v v v v v v
musictherapycanbebeneficial,musiccanalso,attimes, be over-stimulating, possibly
v v v v v v v v v v v v v
causing distress.
v v
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.
v
6. A7-year-oldgirlwithaseveredevelopmentaldisabilityisreceivingmusic
v v v v v v v v v v
therapyinaresidentialsetting.Sheisnonverbalandpronetobefearfuland
v v v v v v v v v v v v v v
anxious in new situations.When brought into the therapy room for her first
v v v v v v v v v v v v v
session,sheactivelyresistsandbeginstocry.Themusictherapist,working in an
v v v v v v v v v v v v v v
improvisational model, might do which of the following?
v v v v v v v v
1. Meetthe childby playingmusic toexpress theintensity ofher crying.
v v v v v v v v v v v v
2. Reflect the child's sound and breathing with careful musical phrasing.
v v v v v v v v v
3. Comfortthechildbyholdingandrockingherwhilesingingsoothinglyrics. v v v v v v v v v v v
4. Singwithoutwordssothechildhearsanothervoicethatcorrespondsto how
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she is feeling.
v v v
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
v v v v v v v v v v v v v v v
musicalphrasing,thechildbecomesawarethatsomeoneislisteningtoher and aware of
v v v v v v v v v v v v v v v
her own sounds.She feels accepted and understood.
v v v v v v v v
7. "Sinceheradmission,Maryhasspentmostofhertimeinherroomandhas not
v v v v v v v v v v v v v v v
participated in unit activities." Under which assessment domain would this
v v v v v v v v v v
statement MOST likely be found?
v v v v v
A. psychosocial
B. emotional
C. communicative
D. sensorimotor:A.Psychosocialreferstoquantityandqualityofinterpersonal v v v v v v v v v
interaction.
v
8. Whenplayingafamiliarsongwithayoungclient,whichofthefollowing
v v v v v v v v v v v v
therapeutic exercises will MOST effectively increase sustained attention?
v v v v v v v v
A. altering note order v v
B. varyingkeysignature v v
4/44 v v
1. A 17 year old is demonstrating a sudden decline in grades, increased
v v v v v v v v v v v
unexcusedabsences,andinabilitytoconcentratewheninschool.Facialaffecthas
v v v v v v v v v v v v
changed from friendly to flat.When approached,the student states he is fine.
v v v v v v v v v v v v v
Reportsindicatetheclientrespondstomusic,soamusictherapyreferral is
v v v v v v v v v v v v v
requested.To assess possible causes of the change in behavior,a music
v v v v v v v v v v v v
therapist should FIRST
v v v
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
v v v v v v v v v v v
choice that allows the music therapist to determine potential causal factors
v v v v v v v v v v v
2. A music therapist is using ballroom dancing to facilitate intimacy in a
v v v v v v v v v v v
relationship between a client,who has dementia,and his wife.During a ses- sion,
v v v v v v v v v v v v v v
theclient'sfavoritebig-bandmusicisplayed,butheishavingdifficulty standing
v v v v v v v v v v v v v
up and dancing with his wife.The BEST intervention would be to recommend that
v v v v v v v v v v v v v v
the wife
v v
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.
v v v v v v v v v
C. hold her husband's hands and move in time to themusic.
v v v v v v v v v v
D. sitsilentlynexttoherhusbandwhiletheylistentothemusic.:C.Having the
v v v v v v v v v v v v v v
wife hold her husband's hands and move in time tothe music with him is
v v v v v v v v v v v v v v v
aninterventionthatbrings bothpartnerstogetherinanactiveinteractionthat
v v v v v v v v v v v
1/44 v v
,approximates dancing and facilitates intimacy.
v v v v v
3. A 52-year-old woman hospitalized for ovarian cancer requests music ther- apy
v v v v v v v v v v
to help her relax and sleep. During the initial session conducted at bedtime,the
v v v v v v v v v v v v v v
clientsharesherfearsandlifestorybeforetheuseofanymusic intervention. After
v v v v v v v v v v v v v v v
validating the client's feelings, the BEST direction for the music therapist to take
v v v v v v v v v v v v v
is to
v v
A. discussfavorite songs importantto the client'slife.
v v v v v v v
2/44
v v
,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
v v v v v v v v v v v v v
the client has discussed her fears and shared her story, she may be more ready for sleep.
v v v v v v v v v v v v v v v v v
Introducingsoft guitar music at this point would be germane to accomplishing the stated
v v v v v v v v v v v v v v
therapeutic goal.
v v
4. A music therapist has been jointly treating a client with vascular dementia and
v v v v v v v v v v v v
the client's daughter,once a week for one hour.Recently,the client has become
v v v v v v v v v v v v v v
morewithdrawn,presentingwithareducedemotionalresponseand increased
v v v v v v v v v v
passivity. Despite changes, the daughter continues to encourage the client to be
v v v v v v v v v v v v
active and
v v
engaged,yettheclientisagitatedandcombative.Whichofthefollowingisthe
v v v v v v v v v v v v v
music therapist's BEST response?
v v v v
A. Continuetreatmentusingthemusictoaddressagitationandcombative- v v v v v v v v v
ness.
v
B. Discontinuetreatmentastheclient'spassivitywillincreasewithdisease v v v v v v v v v
progression.
v
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
v v v v v v v v v v v v v
treatment length and frequency, as well as type of interventions is an importantaspectof
v v v v v v v v v v v v v v v
careduetotheoftensuddenonsetofsymptomsandcontinued lossoffunctioning.While
v v v v v v v v v v v v v v v
musictherapycanbebeneficial,musiccanalso,attimes, be over-stimulating, possibly
v v v v v v v v v v v v v
causing distress.
v v
5. Whencompletingabehavioralassessment,informationrelatingONLYto
v v v v v v v v
behaviors observed, not interpretation, is considered
v v v v v v
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.
v
6. A7-year-oldgirlwithaseveredevelopmentaldisabilityisreceivingmusic
v v v v v v v v v v
therapyinaresidentialsetting.Sheisnonverbalandpronetobefearfuland
v v v v v v v v v v v v v v
anxious in new situations.When brought into the therapy room for her first
v v v v v v v v v v v v v
session,sheactivelyresistsandbeginstocry.Themusictherapist,working in an
v v v v v v v v v v v v v v
improvisational model, might do which of the following?
v v v v v v v v
1. Meetthe childby playingmusic toexpress theintensity ofher crying.
v v v v v v v v v v v v
2. Reflect the child's sound and breathing with careful musical phrasing.
v v v v v v v v v
3. Comfortthechildbyholdingandrockingherwhilesingingsoothinglyrics. v v v v v v v v v v v
4. Singwithoutwordssothechildhearsanothervoicethatcorrespondsto how
v v v v v v v v v v v v
she is feeling.
v v v
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
v v v v v v v v v v v v v v v
musicalphrasing,thechildbecomesawarethatsomeoneislisteningtoher and aware of
v v v v v v v v v v v v v v v
her own sounds.She feels accepted and understood.
v v v v v v v v
7. "Sinceheradmission,Maryhasspentmostofhertimeinherroomandhas not
v v v v v v v v v v v v v v v
participated in unit activities." Under which assessment domain would this
v v v v v v v v v v
statement MOST likely be found?
v v v v v
A. psychosocial
B. emotional
C. communicative
D. sensorimotor:A.Psychosocialreferstoquantityandqualityofinterpersonal v v v v v v v v v
interaction.
v
8. Whenplayingafamiliarsongwithayoungclient,whichofthefollowing
v v v v v v v v v v v v
therapeutic exercises will MOST effectively increase sustained attention?
v v v v v v v v
A. altering note order v v
B. varyingkeysignature v v
4/44 v v
