Music Therapy - CBMT practice exam #1

Resource summary

Question 1

A patient exhibits distracted, unfocused behaviors during a final session. To BEST meet the clients immediate needs prior to discharge, the therapist should focus on the clients
  • access to community resources.
  • feelings about termination.
  • limited attention skills.
  • progress in therapy.

Question 2

A 10-year-old music therapy client with Oppositional Defiant Disorder (ODD) has met all music goals, and the music therapist presents his discharge summary at her agency's weekly staffing. In other therapists, the client has made very little progress and remains defiant and resistive. The music therapist should
  • proceed with discharge as an advocate for the client to show that he indeed met his goals and ha no deficits in music therapy.
  • proceed with discharge and offer suggestions to the other therapists for how to integrate music into their work to help him develop positive socially.
  • collaborate with other professionals to target generalization of behaviors in music therapy to other setting.
  • redesign his treatment plan to build ego strength through acquiring musical skills.

Question 3

When completing a behavioral assessment, information relating ONLY to behaviors observed, not interpretation, is considered
  • subjective.
  • irrelevant.
  • prejudicial.
  • objective.

Question 4

A music therapist has completed an assessment on a patient who has Parkinson's disease. The patient was referred for treatment of dysarthria. When planning a music therapy treatment program, the therapist should focus on
  • gait stability.
  • tremor reduction.
  • depression.
  • oral motor control.

Question 5

A school music teacher refers an 8-year-old boy to the school's music therapist because he is "uncooperative and unfocused," "disruptive during class," and "always wanting to play things his own way." The music therapist should FIRST
  • schedule an assessment of the child.
  • advise the teacher to set clear limits for the child.
  • design a program to work on the child's social skills.
  • recommend a course of individual music therapy.

Question 6

Which of the following music experiences BEST promotes spatial awareness for a group of adults which developmental disabilities?
  • moving freely to client-preferred music.
  • eliciting movement through recorded music.
  • facilitating structured movement through live music.
  • participating in an action song.

Question 7

A music therapist is assigned to conduct an initial assessment for a 12 year old who is blind and walks with a cane. Which of the following rooms would BEST enable the therapist to conduct a comprehensive assessment for this clients?
  • small room with carpet and storage cabinets for equipment.
  • medium-sized room with a suspended wooden floor and audio cabinets mounted on the wall.
  • large room with a concrete floor and two couches set up against the wall.
  • narrow room set up with tables against each wall.

Question 8

An objective reads: "Within 6 weeks, the client will demonstrate on-task behavior by playing the drum for 2 consecutive minutes in three of four trials." Which of the following data collection procedures will BEST document the clients progress toward this objective?
  • Count the number of beats per minute the client plays on a drum for each trial.
  • Record the amount of time the client engages in drum playing for each trial.
  • Count the number of time the client engages in drum playing during each session.
  • Record the amount of time the client is off-task during each session.

Question 9

A music therapist is facilitating group cooperation and decision making by using songwriting. A group member with low self-esteem often provides entire verses of lyrics which ignoring other members' suggestions. To facilitate the group goals, the therapist should
  • implement individual sessions with the dominant group member.
  • structure the task to promote an equal response from each group member.
  • encourage the dominant group member to listen to other group members.
  • respond to non-dominant group members while ignoring the dominant group member.

Question 10

A music therapist with basic guitar skills wants to accompany a song written in the key of Ab major, using Ab, Db, and Eb7 chords. To allow for the use of all first position chords and only minimally affect the songs vocal register, the song should be transposed to the key of
  • B Major.
  • D Major.
  • F Major.
  • G Major

Question 11

A teenage client diagnosed with a conduct disorder was referred to music therapy for anger management. During assessment, the client is angry about being required to attend music therapy and states he likes gangsta rap. The music therapist is not familiar with gangsta rap, but dislikes rap music. The BEST action for the therapist is to
  • expose the client to a variety of music to enhance his appreciation for different styles.
  • familiarize herself with gangsta rap to find music to which the client can relate.
  • explain to the client her dislike of rap and encourage him to pick another style of music.
  • explain to the client that gangsta rap is counterproductive to the therapeutic process.

Question 12

An individual has the following duster of symptoms: - failure to develop peer relationships appropriate to developmental level. - apparently inflexible adherence to specific, nonfunctional routines or rituals. - general delay in language - delay in cognitive development or in the development of age appropriate self-help skills, adaptive behavior, or curiosity about the environment in childhood. Which of the following is the specific diagnostic label?
  • Rett Syndrome.
  • autism spectrum disorder.
  • childhood dis-integrative disorder.
  • intellectual and developmental disability.

Question 13

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.
  • dynamic range.
  • mode.
  • tempo.

Question 14

A 14-year-old boy is referred to an outpatient music therapy group. The group is learning to play a 12-bar blues pattern using guitars, keyboards, and drums. The clients records indicate low self-esteem and difficulty processing auditory information. To engage the client quickly in the group, the therapist should
  • explain the chord structure of the 12-bar blues.
  • play a drum along with the client in a steady beat.
  • show the client how to play the chords in first position on the guitar.
  • ask the client to listen while the group plays through the 12-bar blues.

Question 15

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 to working with his client?
  • Take him by the hand and lead him to the instruments.
  • Verbally welcome him and invite him to the piano.
  • Observe and musically reflect his responses to the environment.
  • Ignore his behavior and begin playing march music on the piano.

Question 16

A song on the guitar in the key of C needs to be transposed to the key of Eb. Using first position fingering in the key of C, the therapist needs to place the capo on the
  • 2nd fret.
  • 3rd fret.
  • 5th fret.
  • 7th fret.

Question 17

A physical therapy department is developing a wellness exercise program. The physical therapists ask the music therapist to assist them in selecting music for use during exercises. To represent the BEST collaborative effort, the music therapist should
  • request that the physical therapists determine the clients' preferred music styles and provide music in those styles.
  • suggest that the music therapist co-lead the exercises with the clients.
  • provide music selections that have been used successfully for movement exercises.
  • request detailed descriptions of the exercise in order to select recorded music.

Question 18

At the conclusion of treatment, the music therapist should document all of the following EXCEPT the
  • termination plan.
  • follow-up procedures.
  • client's family history.
  • client's current functioning.

Question 19

A music therapist has recently started to work in a forensic setting. The music therapist was given very clear instructions concerning safety of the clients no instruments can be brought onto the unit, including guitar, keyboard, and percussion instruments. Which of the following is the BEST action for the therapist to take?
  • Question the administration about the severe restrictions.
  • Bring in small instruments based on best professional judgement.
  • Request permission to bring in small instruments.
  • Adhere to the instructions.

Question 20

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. The music therapist should
  • bring recording equipment to hospice and complete the CD with the patient.
  • contact hospice and arrange for transition to the facility's music therapist.
  • visit the patient to inquire how to proceed with the CD.
  • do a home visit for the children and give them the unfinished CD.

Question 21

Which of the following statements made by a music therapist is subjective?
  • "The client jumped out of his chair and ran from the room."
  • "The client threw his songbook on the floor and said, "These are evil songs.""
  • "The client was angry and had difficulty tolerating the session."
  • "The client did not interact verbally with peers during the session."

Question 22

A music therapy production is planned for presentation to clients, staff, and guests at an institution. The music therapist is asked to design a printed program providing recognition to the participating clients. The therapist must
  • provide a printed program for the clients only.
  • not print the program because of the potential breach of confidentiality.
  • ensure that clients whose names are to be printed have signed a written release form.
  • only choose clients to participate in the production who will allow the use of their names in the program.

Question 23

While working with a child, the music therapist raises her eyebrows when the child reaches for a mallet, which is an off-task behavior. The child immediately pulls her hand away. The therapist has
  • ignored the client's response.
  • reinforced on-task behavior.
  • communicated limits.
  • reinforced the off-task behavior.

Question 24

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.
  • discharge the client from the group.
  • modify treatment to facilitate the clients return.
  • discuss the clients absence at the next group session.

Question 25

A music therapist has been hired by a facility to establish a new music therapy program. Which of the following would be the MOST effective way to seek referrals?
  • Send a memo to each unit explaining music therapist and requesting referrals.
  • Meet with each treatment team manager and request referrals.
  • Send flyers to each unit advertising music therapy services.
  • Conduct a music therapy in-service for the facility staff and encourage referrals.

Question 26

During an initial music therapy assessment of an individual who is comatose, the presentation of loud and abrupt auditory stimuli is use to assess
  • the startle reflex.
  • auditory localization.
  • auditory comprehension.
  • the entrainment response.

Question 27

In order to target the goal of increasing reality orientation in a client with a diagnosis of a major dissociative disorder, a music therapist should use which of the following techniques? 1. improvisation 2. guided imagery 3. song-writing 4. singing
  • 1, 2, and 3 only
  • 1, 2, and 4 only
  • 1, 3, and 4 only
  • 2, 3, and 4 only

Question 28

A music therapy intern is considering referring a client to her clinical supervisor because the client demonstrates behaviors reminiscent of the intern's own domineering older sister. The client's behaviors are eliciting reactions in the intern that are reflective of her own relationship with her sister. In order to assist the intern's professional development, the clinical supervisor should suggest that
  • the intern is over-identifying with the client's pathology.
  • the client's transference toward the intern provides insight into the client's relationship problems.
  • the intern examine how her counter-transference is limiting her therapeutic objectivity.
  • this experience challenges the intern's adequacy to treat this client.

Question 29

Confidential information from a music therapy assessment and treatment plan may be revealed under all of the following circumstances EXCEPT
  • to the appropriate authorities, if it is believed that the client or another individuals is in imminent danger.
  • to professionals directly related to the case or situation.
  • when the client agrees to the releases of that information.
  • when the clients insurance company requests it.

Question 30

Musical assessment of executive functions in a patient with a traumatic brain injury (TBI) can BEST be achieved by
  • Progressive Muscle Relaxation (PMR).
  • creating an original composition.
  • singing familiar songs.
  • dancing to familiar music.

Question 31

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 would be the BEST treatment recommendation for this client?
  • individual sessions emphasizing sensory awareness and stimulation
  • a small rhythm group emphasizing group cohesiveness
  • a music appreciation group emphasizing reminiscence and life review
  • individual sessions emphasizing reality orientation

Question 32

In an educational setting, all of the following are sources for assessment data EXCEPT
  • the school record.
  • client consultation.
  • peer interview.
  • clinical observation.

Question 33

The music therapist does not agree with a treatment team decision regarding client treatment. Which of the following is the BEST action for the therapist to take?
  • Adhere to the treatment team decision despite the therapist's disagreement.
  • Express disagreement and independently revise the treatment plan.
  • Disregard the treatment plan and proceed based on best professional judgment.
  • Work to resolve the issue with the treatment team.

Question 34

A client with dysphasia should be referred to which of the following professionals?
  • physician
  • speech/language pathologist
  • physical therapist
  • occupational therapist

Question 35

During a music therapy session, a 52-year-old inpatient describes his plans to kill his ex-wife. The music therapist should
  • maintain confidentiality and not share this information with anyone.
  • not frighten his wife by calling her but contact his wife's family and request that they tell her in person.
  • post the patient's intention on the internet to warm the public of the potential threat.
  • consult federal, state, and local regulations and organizational policies and procedures to determine what to do.

Question 36

When conducting research, a music therapist should do which of the following?
  • Omit any information which may discourage participation in the advertisement to recruit research participants.
  • Obtain consent from participants when using deception in research.
  • Obtain informed consent from participant prior to their involvement in the study.
  • Collaborate with funding agencies who may potentially benefit financially from outcomes.

Question 37

A music therapist wishes to obtain assessment data on a school age girl who is in foster care. The child has been recommended for music therapy services in her home. The music therapist should use which of the following resources? 1. reports from her primary teacher 2. questionnaire completed by a foster parent 3. interview with the biological mother 4. observation of the child in the home environment
  • 1, 2, and 3 only
  • 1, 2, and 4 only
  • 1, 3, and 4 only
  • 2, 3, and 4 only

Question 38

Which of the following is a language disorder which affects the ability of a patient with a cerebrovascular accident (CVA) to accurately relay information during an initial music therapy assessment?
  • aphasia
  • ataxia
  • dysphagia
  • dystexia

Question 39

A music therapist is playing a CD with lively music that contains a driving beat. A young client who has never been known by the therapist to have a seizure experiences one during this intervention. Which of the following is the BEST course of action for the music therapist in response to this occurrence?
  • Conclude that the seizure was caused by the music and discontinue music therapy.
  • Discontinue music therapy until the child is evaluated by a neurologist.
  • Continue music therapy and recommend that the client see a doctor for medication.
  • Continue with the intervention and let the teacher know that the client had a seizure during music therapy.

Question 40

When an initial referral is received for a music therapy assessment in a hospital setting, what intake information about the patient should the music therapist obtain FIRST?
  • insurance provider, status, and length of coverage
  • name, medical record or ID number, and date of birth
  • only the family's explanation and perspective of the current medical situation
  • psychological and educational needs

Question 41

A client has recently been admitted to a psychiatric facility with a diagnosis of bipolar disorder. The client comes to a group music therapy session exhibiting sleepiness and sluggish demeanor. Which of the following MOST likely accounts for this presentation? 1. side effects of newly prescribed medication 2. symptoms of depression 3. symptoms of mania 4. symptoms of anxiety
  • 1 and 2 only
  • 1 and 3 only
  • 2 and 4 only
  • 3 and 4 only

Question 42

Which of the following chord diagrams represents a I, IV, V7 chord progression on the guitar in the key of C ?
  • D, G, A7
  • C, F, G7
  • E, A, B7
  • Em, Am, D7

Question 43

While completing an assessment on a patient who is 10-days post stroke, the 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. The music therapist should
  • discontinue the music therapy assessment and make recommendations to another type of therapy.
  • continue the assessment to determine if music can be used effectively with the patient.
  • use only non-musical assessment tools to avoid agitating the patient.
  • discuss the spouse's comment with the treatment learn and make a team decision on ow to continue.

Question 44

When practicing "universal precautions," a music therapist should
  • work with sick patients in isolation from healthy patients.
  • anticipate differing levels of precautions based on patient diagnosis.
  • group together the HIV positive patients.
  • wear gloves when in contact with any patient's bodily fluids.

Question 45

The MOST discriminating musical experience to assess a client's fine motor skills would be to ask the client to
  • play a scale on the piano.
  • strum the strings on an Autoharp.
  • imitate rhythms on the tambourine.
  • march and clap in rhythm to a song.

Question 46

Which of the following must a music therapist following best practice adhere to? 1. Stay informed about current research evidence for clinical treatment. 2. Stay current with regulations related to reimbursements for treatment. 3. Assure that the best line of musical instruments is available to the facility. 4. Include functional non-musical behaviors in assessment and documentation.
  • 1, 2, and 3 only
  • 1, 2, and 4 only
  • 1, 3, and 4 only
  • 2, 3, and 4 only

Question 47

Which of the following is the MOST structured group songwriting experience?
  • Ask clients to write a melody and lyrics in their favorite style of music.
  • Break the group into pairs and ask the clients to write lyrics to a melody of their choice.
  • Ask clients to write lyrics about their treatment and match the lyrics to a familiar melody.
  • Ask clients to fill in the blanks to a familiar song where key words have been deleted.

Question 48

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
  • systematic desensitization.
  • progressive muscle relaxation.
  • autogenic training.
  • applied relaxation training.

Question 49

Which of the following is the BEST way to assess a client's rhythmic stability?
  • Instruct the client to maintain a rhythmic ostinato.
  • Ask the client to reproduce a rhythmic pattern after a 2-minute interval.
  • Ask the client to imitate various rhythmic patterns.
  • Have the client initiate various rhythmic patterns.

Question 50

Under HIPAA Privacy Rules, the music therapist must remove which of the following types of data when "de-identifying" client information? 1. the client's street address 2. the client's social security number 3. the client's state of residence 4. the client's email address
  • 1, 2, and 3 only
  • 1, 2, and 4 only
  • 1, 3, and 4 only
  • 2, 3, and 4 only

Question 51

A music therapist is working to increase a patient's vital lung capacity. This goal would MOST commonly be addressed in which of the following conditions?
  • Alzheimer's disease
  • Williams syndrome
  • Renal failure
  • Quadriplegia

Question 52

A music therapist utilizing the behavioral model or approach might utilize which of the following techniques?
  • free assocation
  • task analysis
  • Rhythmic Auditory Stimulation
  • autogenic relaxation

Question 53

Which of the following statement reports objective information about a client?
  • "The client threw the maraca toward the therapist."
  • "The client played the maraca with obvious enjoyment."
  • "The client deliberately threw the maraca on the floor."
  • "The client plays the maraca when she is in a good mood."

Question 54

Which of the following can be used to assess a client's kinesthetic perceptual abilities?
  • songwriting
  • ear training
  • movement to music
  • call and response singing

Question 55

A music therapist is working with an individual who is moderately affected by a traumatic brain injury (TBI). Which of the following experiences would require the highest level of executive functioning for this client?
  • composing the melody of a song
  • adding CDs to one's personal collection
  • selecting an instrument for a rhythmic improvisation
  • choosing a song for the group to sing.

Question 56

Before and after a music therapy session for pain management, the music therapist collects the following data from a 10-point scale for two clients: Client 1 Client 2 Pre-treatment 9 8 Post-treatment 7 5 After the session, which of the following is the MOST accurate conclusion the music therapist should draw?
  • Client 1 is experiencing more pain than Client 2.
  • Client 1 was experiencing more pain than Client 2 at the start of the session.
  • Both clients reported a reduction in pain.
  • The pain management session was successful for Client 2 , but not for Client 1.

Question 57

An adult with dementia screams and hits when a nursing assistant attempts to help her to the shower. Since the nursing staff know that the client responds positively in music therapy, the music therapist is asked to assist. Which of the following is the MOST useful type of music for this situation?
  • new-age relaxation music
  • lively, energetic music
  • a slow movement from a classical sonata
  • music form the client's young-adult years

Question 58

A music therapist is working with a 30-year-old client in a psychiatric facility. The client's mother is developing dementia. She is distressed by family responsibilities because, as the oldest daughter, she is expected to put the needs of her aging mother ahead of her own needs and those of her husband and children. Placement of the client's mother in a nursing home is viewed negatively because of cultural expectations. What is the music therapist's BEST course of action to assist this client?
  • Write a song that encourages her to place her needs over her family's expectations.
  • Improvise on the idea of individual freedom to develop her courage to place the mother in a nursing home.
  • Teach the client to use progressive relaxation with music.
  • Engage the client in songwriting as a distraction from her anxiety.

Question 59

In a standard 12-bar blues form, the chord in the ninth measure is the
  • tonic.
  • subdominant.
  • submediant.
  • dominant.

Question 60

The music therapist is working with a group of adult inpatients with psychiatric disorders. The group has epxressed feelings of guilt and hopelessness and are exploring these feelings in the music therapist setting. Which of the following techniques are MOST appropriate for a music therpaist working from a cognitive approach? 1. lyric analysis 2. imagery and music 3. relaxation and music 4. song-writing
  • 1 and 2 only
  • 1 and 4 only
  • 2 and 3 only
  • 3 and 4 only

Question 61

A facility administrator sees the benefits of the music therapy day treatment program for psychiatric outpatients and requests that these services be offered to the psychiatric inpatients. Which of the following should the music therapist do in order to provide a safe environment for the inpatients?
  • Implement the same treatment plan for the outpatients as for the inpatients because of past success.
  • Find a treatment plan in a reputable academic reference and simulate those interventions for the inpatient group.
  • Integrate the social work treatment plan and add musical opening and dosing interventions.
  • Identify the differences in the cognitive, emotional, and psycho-social needs between the outpatients and inpatients.

Question 62

When a client reaches some of his goals in less time than expected, the music therapist should
  • terminate treat.
  • revise the treatment plan.
  • consult with others professionals.
  • write up a treatment summary.

Question 63

Which of the following responsibilities does the music therapist have to the client during the treatment evaluation? 1. analysis of all available data to determine the effectiveness of therapy. 2. reliance on anecdotal information from non-music therapy professionals. 3. communication with the client, client's family, caregivers, or personal network. 4. recommendations and referrals as indicated.
  • 1, 2, and 3 only
  • 1, 2, and 4 only
  • 1, 3, and 4 only
  • 2, 3, and 4 only

Question 64

A music therapist in a hospital is asked to see a 39-year-old man who has recently suffered a severe brain injury and is in a great deal of pain. During the assessment, the patient becomes increasingly agitated and complains that his pain has intensified. The music therapist should
  • speak to the nurse about increasing the patient's pain medication.
  • recognize that music therapy may be contraindicated at this time.
  • continue the assessment and report his pain scale score.
  • gradually desensitize the patient to music.

Question 65

Which of the following should the music therapist do to elicit participation during a drumming experience in a nursing home?
  • Describe the history of drumming.
  • Pass out individual rhythm scores.
  • Teach advanced drumming techniques.
  • Use various rhythms, meters, and tempos.

Question 66

Which of the following is the MOST pressing need for a client when the music therapist is terminating therapy because of a move to another city?
  • understanding the reason for the therapist's leaving
  • knowing where the therapist will be in the future
  • expressing feelings about the loss of the relationship
  • meeting the therapist who will replace the music therapist who is leaving

Question 67

A music therapist in an adult day care center is leading a large group 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?
  • Give the clients hand drums and instruct them to keep a steady beat.
  • Provide a variety of instruments to clients with mild cognitive impairments and drums to those with severe cognitive impairments
  • Assign specific instruments to clients and have them read color-coded charts.
  • Allow clients to select instruments and cue them to play at specific times.

Question 68

What is a programmatic consideration to be addressed during the initial treatment planning phases?
  • selection or design of a data collection system to use during treatment
  • documentation of each patient interaction including telephone calls, faxes, e-mails, and missed calls
  • assessment and identification of the potential benefits and detriments oftermination
  • required involvement of the client and family members in the treatment planning process

Question 69

The task of having children clap their hands to a rhythmic stimulus could be BEST used to assess
  • fine motor skills.
  • sensorimotor integration
  • affective responses.
  • social integration

Question 70

A music therapist working with a group of nine 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 familiar song
  • an unfamiliar song
  • a song with an allegro tempo
  • a song with an adagio tempo

Question 71

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.
  • reflect the group members' various beats.
  • stop the song if the tempo varies.
  • improvise over the playing of the group.

Question 72

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, the music therapist's BEST course of action would be to
  • provide supportive music to develop trust.
  • sing about other people in similar situations.
  • stop the song to question the woman about how she got her bruises.
  • point out that the woman's lyrics do not seem to much her circumstances.

Question 73

Over the course of three months, a music therapist group for people with Parkinson's disease has completed the treatment plan objective with 40% accuracy during the first month, 75% accuracy during the second month, and 90% accuracy during the third month. Which of the following is the BEST treatment plan option for the next month?
  • Repeat the treatment plan and include a reward at the end of the sessions.
  • Discontinue treatment since the group members have made remarkable improvement.
  • Modify the treatment plan as a group, letting the participants rewrite the session plan according to their perceived abilities.
  • Review documentation from the past sessions and evaluate possible modifications of the treatment plan.

Question 74

While improvising with a client, the music therapist introduces new rhythmic and melodic motives with changes in meter and key. The therapist is MOST likely attempting to
  • stabilize the feelings expressed by the client.
  • interpret and clarify the client's improvisation.
  • redirect the client from a potentially rigid way of playing.
  • reflect emotions and energy of the client's improvisation.

Question 75

A music therapist working with a child with a pervasive developmental disorder is being reimbursed by the parents medical insurance company. The company has requested an update on the child's progress to determine if they will continue to pay for music therapy services. Which of the following is the BEST documentation the music therapist can provide the insurance company in this situation?
  • summary of the initial assessment and progress notes
  • copy of the data collected by the music therapist since the child began music therapy services
  • graph documenting client progress on music therapy goals and objetives
  • narrative summary of music therapy goals and objective with graphic representation of client proress

Question 76

An 18-year-old client who functions on the low end of the autism spectrum will be moving into a group home in another town after living with his family his entire life. He has been receiving music therapy services for 15 years but will no longer receive music therapy in his new setting. To help the client express his feelings about the upcoming move and the termination of his music therapy services, the music therapist should
  • use improvisation to allow the client to explore and express his emotions.
  • engage the client in a series of Guided Imagery and Music (GIM) sessions to target loss through discussion of feelings.
  • develop lyric analysis handouts using blues songs to prepare the client to face and express sadness related to the upcoming loss.
  • take the client to participate in his hometown Very Special Arts Choir to help with his transition.

Question 77

Which of the following diatonic chord progressions BEST fits this melody? Soprano, C, 4/4 s|m' - - r' d' t | l - - t d' r' | r' - - d' t l | s - - - ||
  • C, Am, D7, G
  • Em, D, F, C
  • C, F#m, Dm7, G
  • Am, F, D7, C

Question 78

During a music therapy session, a client asks the therapist why "God afflicted her with terminal cancer." Which of the following is the therapist's MOST appropriate immediate response?
  • Explain that the illness must be God's will.
  • State that her questions should be addressed by a chaplain.
  • Explain that God would not deliberately afflict someone with cancer.
  • Discuss the client's feelings toward God.

Question 79

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 refused to stand up and dance with his wife. The BEST intervention would be to recommend that the wife
  • watch a big-band dance video with her husband.
  • sing to her husband as they sit facing one another.
  • hold her husband's hands and move in time to the music.
  • sit silently next to her husband while they listen to the music.

Question 80

A music therapist is improvising in the key of G major. Which of the following secondary dominant-seventh chords should be chosen for the MOST direct transition to the new key of D major?
  • A7
  • B7
  • C7
  • E7

Question 81

Photography and video during music therapy sessions with competent adults are acceptable
  • under no circumstances.
  • only when used for educational purposes.
  • with oral permission from the client and facility.
  • with written consent from the client and facility.

Question 82

An ego defense mechanism in which an individual attributes desires and impulses to others is
  • projection.
  • assimilation.
  • dissociation.
  • rationalization.

Question 83

A music therapist in a public school is about to conduct an initial assessment for a 5-year-old boy with ADHD. The assessment is scheduled to take place in the boy's classroom. To facilitate the child's engagement MOST effectively, the music therapist should
  • frequently remind the boy to stay in his seat and focus on the musical activity.
  • delineate a small area of the room to be used and remove possible distractions.
  • request that a classmate of the boy be present to act as a role model.
  • observed the boy's spontaneous actions to see how he reacts in this environment.

Question 84

A new music therapist with specialized training moves into a community which has only three therapists, each of whom has a large waiting list. These music therapists are only available to provide services on a weekly basis, but many of the clients would like to receive services more than once a week. After the new music therapist runs an advertisement in the local newspaper about opening his private clinic, several of these clients contact him about services. The new music therapist should
  • schedule these new clients and then notify their other music therapists that he is able to help them serve the community and will be working with the client.
  • suggest that the clients switch from their current therapists to him to allow continuity of service provision across the week from the same provider.
  • accept these clients only after speaking with their current music therapists about the situation.
  • offer suggestions to the clients about how to approach their current therapists to obtain referrals for provision of specialized music therapy services.

Question 85

A music therapist is seeing a bereaved 3-year-old child whose other recently died. The child is afraid to go to sleep at night and repeatedly asks questions. She frequently states, "I killed mommy." The child is MOST likely demonstrating
  • awareness of feelings.
  • magical thinking.
  • concrete thinking.
  • awareness of memories.

Question 86

When a music therapist is consulting with a client's family or significant others in the treatment planning process, it is appropriate to do all of the following EXCEPT
  • inquire about the client's musical preferences.
  • share information about leisure resources available.
  • share histories of other clients for comparative studies.
  • inquire about the family's involvement upon discharge.

Question 87

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
  • dynamics
  • entrances
  • phrasing

Question 88

A music therapist is working with a group of adolescents in an inpatient psychiatric treatment facility. The music 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. The music therapist should
  • invite the new member to join in a group improvisation using percussion instruments.
  • conduct a music and imagery session using music the adolescents enjoy.
  • ask a colleague to attend the group to help elicit responses from the new member.
  • conduct lyric analysis using a popular song dealing with adapting to new situations.

Question 89

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?
  • birth weight of the infant.
  • preferred music of the mother
  • music the infant heard while in the womb
  • current stage of the infant's neurological develpment

Question 90

A music therapist working with an inmate convicted of homicide asks to read the hospital report from the inmate's recent hospitalization secondary to a suicide attempt. The music therapist may read the reports written by the psychiatrist, psychologist, social worker, and occupational therapists from the hospital if
  • the music therapist uses his best professional judgement to determine legitimate need for this information.
  • the music therapist receives a letter from the inmate's wife suggesting that this information would prove useful.
  • professionals who previously worked with the inmate in the hospital were directly involved with the cases.
  • the client consents to the release of the confidential information.

Question 91

During a music therapy session, clients hospitalized for chemical dependency express mixed emotions concerning the recent suicide of a former group member. To facilitate the grieving process, the music therapist should FIRST
  • validate and normalize the group's responses through music.
  • provide music relaxation training to redirect the client's' attention.
  • engage the group in songwriting about suicide prevention.
  • composes and rehearse a song for the memorial service.

Question 92

In a cardiac rehabilitation program for patients who have hand open heart surgery, a music therapist leads a weekly music therapy session immediately after the patient's exercises session. To BEST help the patient's learn to generalize stress management skills, the music therapist should
  • provide a songwriting experience in which the patients identify stressors and choose a coping strategy to try in the next session.
  • guide a music-assisted relaxation experience and provide each patient with a copy of the exercise to use at home.
  • lead a drum circle encouraging each patient to release stress through drumming.
  • teach keyboard skills and instruct the patients to practice daily when their individual stress level is at it's peak.

Question 93

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. The only thing that seems to provide interest is music. To assess possible causes of this behavior, the music therapist should FIRST
  • observe the student in other classes.
  • discuss concerns with the guidance counselor.
  • identify current stressors in the student's life.
  • review the student's IEP.

Question 94

A music therapist working with a group of clients who are depressed has chosen a songwriting experience. To establish trust within the group, the therapist should
  • instruct each client to write and sing a solo verse for the song.
  • emphasize proper use of rhyme schemes and musical from to provide structure.
  • compose a song using input from group members who participate.
  • encourage each client to contribute a personal thought for use in the lyrics.

Question 95

The MOST likely goal of music therapy experiences, in which clients evaluate their own music performances, is to increase
  • music skills.
  • social skills.
  • self-awareness.
  • on-task responses.

Question 96

When selecting a music intervention for a client, the MOST important thing to take under consideration is
  • musical preferences.
  • musical ability.
  • therapeutic goals.
  • physical ability.

Question 97

When preparing a hospital patient for termination of music therapy treatment, it is always necessary to
  • make sure all treatment goals have been met.
  • make sure the patient is discharged to the least restrictive environment.
  • coordinate follow-up care to address any unmet treatment goals.
  • provide adequate closure for the patient.

Question 98

A group of clients would like to perform a Latin-American piece at a talent show at school. They have been improving a 3-2 rhythm with a variety of percussive instruments. Which of the following rhythmic patterns would provide the strongest accompaniment?
  • Clave rhythm
  • Waltz rhythm
  • Tango rhythm
  • Cha-Cha rhythm

Question 99

In order to stay current with information on autism and best practices, the MOST reliable resource is
  • magazine articles.
  • workshops.
  • the Internet.
  • peer-reviewed publication

Question 100

A client who is a resident in a nursing home is very withdrawn and appears to be out of touch with what is happening around her much of the time. The music therapist is attempting to assess her musical responses by playing and singing songs from a variety of popular styles and eras. Which of the following client responses MOST actively indicates her familiarity with a given style of music?
  • singing the words to a song along with the therapist.
  • looking at the therapist while the therapist sings.
  • gently tapping her foot to the rhythm of the music.
  • straightening her posture.

Question 101

In a score, if a Bb trumpet is notated in the key of E, the piano is played in the key of
  • E
  • Bb
  • D
  • Ab

Question 102

When accompanying a client, which of the following provides the BEST structure?
  • rubato
  • ostinato
  • staccato
  • ritenuto

Question 103

A music therapist has observed a colleague falsifying continuing education documents. The therapist should FIRST
  • consult with the colleague involved.
  • consult with the colleague's supervisor.
  • report the action to the facility's ethics committee.
  • report the action to the colleague's professional organization.

Question 104

A music therapist is working with a client with athetoid cerebral palsy who expresses an interest in playing the cymbals, but who 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?
  • physiatrist
  • physical therapist
  • engineer
  • occupational therapist

Question 105

In order to ensure the safety of the patient during ambulation, the BEST person for the music therapist to consult is the
  • nurse.
  • occupational therapist.
  • dance/movement therapist.
  • physical therapist.

Question 106

The BEST way to evaluate the potential of a treatment plan to meet a client's needs is to
  • schedule a meeting with the client.
  • discuss with another music therapist.
  • consult with the client's interdisciplinary team.
  • schedule a meeting with the client's family.

Question 107

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?
  • rubato
  • allegro
  • andante
  • moderato

Question 108

A music therapist should refer clients to other professionals based on
  • client needs.
  • economic feasibility.
  • standard treatment plans.
  • availability of other professionals.

Question 109

During a gait training session with music therapy, a patient with a traumatic brain injury (TBI) is having difficultly walking to the beat of the music. To correct this problem, the music therapist should FIRST
  • have the patient walk to a simpler auditory stimulus such as a metronome.
  • ask the patient to select preferred music for walking to the beat.
  • refer the patient to a physical therapist for gait assessment.
  • conclude that gait training is no appropriate for this patient.

Question 110

A music therapist has recently started a new job working with inner-city at-risk adolescents at a community center. To help adolescents identify and express their emotions, she introduces song-writing activities. Though the therapist has a strong background in jazz and classical music, she notices that the clients criticize her accompaniments. To BEST meet the client's needs, the therpaist should
  • develop therapeutic music lessons to teach basic music literacy.
  • move from song-writing to active music listening to broaden client's exposure to new musical styles.
  • adapt the client's preferred music to the styles with which the therapist is most comfortable.
  • seek out resources to learn more contemporary music styles.

Question 111

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. The music therapist should FIRST
  • allow the group to express how they are affected by the drummer's actions.
  • play the drums along with the dimmer to modify the tempo.
  • increase the proximity of the players to one another.
  • confront the drummer in front of the group to model direct communication.

Question 112

A music therapist in an outpatient clinic leads a group of four adult clients with mental health issues such as schizophrenia and mood disorders. Each session includes instrumental improvisation with a opportunity for verbal processing afterwards. In one session the music begins softly, out of tempo, and gradually becomes more rhythmic and dissonant. The intensity of the music builds as both the tempo and volume increase, with everyone joining in, and gradually dies down before coming to and end. Afterwards, client A says the music was frightening. Client B states she had an image of being on the beach, listening to the waves. Client C comments that the music made him feel anxious. Client D says she found the music peaceful and calming. The BEST conclusion that the music therapist can draw from this discussion is that
  • the improvisation did not enhance group cohesion.
  • the group members did not listen to one another's playing.
  • each person had his or her own subjective experience.
  • the clients needed more direction in the improvisation.

Question 113

A nurse has referred the mother of a six-year-old patient 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
  • consultation with the social worker and the nursing staff.
  • interview with the father to gain his perspective.
  • observation of music-based play activities between mother and child.
  • therapeutic song-writing with the child and the music therapist.

Question 114

A developmental disorder in which there is a defect in the bony covering of the spinal cord that sometimes results in protrusion of the cord and meninges is called
  • scoliosis.
  • spina bifida.
  • hydrocephalus.
  • spinal meningitis.

Question 115

A new music therapist is uncertain as to the clinical implications of music behaviors observed in a group setting. The BEST approach to understanding the nature of theses behaviors is to
  • regard the behaviors as potentially pathological and develop treatment plans.
  • regard the behaviors as potentially pathological and explore their etiology.
  • discuss the behaviors with the client's families and significant others.
  • discuss the behaviors with other music therapists familiar with this population.

Question 116

What type of scale on the keyboard uses only black keys?
  • Aeolian
  • Ionian
  • Pentatonic
  • Lydian

Question 117

Termination of music therapy treatment is appropriate when the
  • client has lost interest in the treatment.
  • therapist is unable to establish a good rapport with the client.
  • client has met all outcome criteria.
  • client has stopped making progress toward current goals.

Question 118

Which of the following types of recording procedure is being employed when a music therapist uses a stopwatch to time how long a child marches to music.
  • event
  • duration
  • continuous
  • fixed ration

Question 119

During a session on an adolescent psychiatric unit one of the clients plays his guitar to preferred music continuously, not allowing the other clients to suggest song. Another client, playing electric keyboard, turns up the volume of his instrument and begins to play different songs. The guitar player reacts by playing his instrument louder and faster. The music therapist should
  • take the instruments away from the two clients and confront them about the behavior.
  • end the group and report the behavior to the counselors.
  • suggest the two clients leave the group and allow the others to continue.
  • stop the music and process the disruption.

Question 120

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 patient shares her fears and life story before the use of any music intervention. After validating the patient's feelings, the BEST direction for the music therapist to take is to
  • discuss favorite songs important to the patient's life.
  • improvise soft guitar music to help the patient go to sleep.
  • composes a song together reflecting the patient's disclosure.
  • close the session and bring the patient's favorite music to follow-up visits.

Question 121

Which of the following examples illustrate professional development?
  • Document treatment plans, collaborate with others colleagues, and expand music repertoire.
  • Conduct or assist with research, participate in continuing education, and engage in collaboration with other colleagues.
  • Participate in research, set professional goals, and maintain client confidentiality.
  • Participate in continuing education, comply with safety protocols, and review current research literature.

Question 122

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 of the therapy setting.
  • Consult with direct care workers who are in contact with the client in the residential setting.
  • Consult progress notes written by other members of the client's multidisciplinary team.
  • Evaluate whether the clients behavior outside of therapy is appropriate to the context of the residential setting.

Question 123

A music therapist is assisting a terminally ill client who is preparing for his impending death. The BEST choice of music for the patient's final hours is music that has been
  • selected by the client
  • designed to elicit relaxation.
  • selected previously by the family or significant others.
  • designed for spiritual transformation.

Question 124

An adult with severe, chronic asthma receives individual music therapy in an outpatient rehabilitation clinic. Treatment goals include increasing breath support and developing intercostal muscle strength to improve voice quality. When selecting song material, which is the following is the MOST crucial aspect to consider?
  • client preference
  • phrases length
  • tessilura
  • song duration

Question 125

A music therapist is working with a stroke patient who demonstrates left neglect and diffciculty crossing mid-line. In order to address both needs through instrumental playing, the therapist should position a drum
  • to the patient's right side and place a mallet in each hand.
  • to the patient's right side and place a mallet in the right hand.
  • to the patient's left side and place a mallet in the right hand.
  • directly in front of the patient and place a mallet in the right hand.

Question 126

A client is referred to music therapy to increase on-task behavior and to encourage social interaction. After three months of weekly sessions, the client has not met the on-task objective, but social interaction has improved. The music therapist's BEST response would be to
  • change the criteria of the on-task objective to challenge the client.
  • identify new goals the client may be more successful that completing.
  • refer the client to a social skills group.
  • re-evaluate the strategies and expected outcomes of the on-task objective.

Question 127

A client who only knows guitar chords in first position wants to learn a song with the tablature for the following chords: E, B7, A, c#, and f#. Which of the following transpositions BEST ensures successful playing of the song?
  • F, C7, Bb, d, g
  • D, A7, G, b, e
  • A, E7, D, f#, b
  • G, D7, C, e, a

Question 128

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.
  • 1, 2, and 3 only
  • 1, 2, and 4 only
  • 1, 3, and 4 only
  • 2, 3, and 4 only

Question 129

A music therapist is working in a choral ensemble with a group of adults who have developmental disabilities. The groups long-term goal is to perform in the community. Which of the following will MOST likely affect the groups success?
  • simplifying parts to meet individual group members' abilities
  • choosing music that is highly preferred by the group
  • choosing music with each group member is familiar
  • arranging the ensemble participants is based on musical ability

Question 130

During initial assessment, a patient answers questions about her spirituality and states, "I am very spiritual and religious." How should the music therapist interpret this information?
  • Recognize that spiritual music is specific to each region of the United States and provide music accordingly.
  • Since the music therapist is also spiritual and religious, she can assume that the patient shares the same spiritual belief system. There is no need to future explore the patient's perspective.
  • Explore what the patient means by "spiritual and religious" and openly discuss the patient's point view.
  • Determine what the patient means by "spiritual and religious" and initiate a discussion about the merits of each spiritual belief system.
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