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
... [Show More] has not met the on-task objective, but social interaction has improved. The music therapist's BEST response would be to
re-evaluate the strategies and expected outcomes of the on-task objective
A music therapist is working with a stroke patient who demonstrates left neglect and difficulty crossing midline. In order to address both needs through instrumental playing, the therapist should position a drum
to the patient's left side and place a mallet in the right hand.
positioning the drum to the patient's left side requires the patient to use his neglected side; drum and mallet placement requires the patient to cross midline
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 of the following is the MOST crucial aspect to consider?
phrase length. this is the most crucial because it requires regulated and sustained breath support
a MT is assisting a terminally ill client who is preparing for his death. the BEST choice of music for the patient's final hours is music that has been
selected by the client. it is important for the patient to experience a sense of control.
which of the following examples illustrate professional development
conduct or assist with research, participate in continuing education, and engage in collaboration with other colleagues.
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?
duration. this involves measuring the length of time a client performs (or doesn't perform) a specified behavior within a specified time frame
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 these behaviors is to
discuss the behaviors with other MTs familiar with this population.
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
spina bifida. "open spine" is a condition in which the membrane or meninges covering the spine pouch out to form a sac at a point along the back
a lateral curvature of the spine
scoliosis
a condition in which the spinal fluid is prevented from leaving the brain and being reabsorbed in the blood stream
hydrocephalus
inflammation of the meninges or membranes that cover the brain and spinal cord
spinal meningitis
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 clients' needs, the therapist should
seek out resources to learn more about contemporary music styles. the therapist recognizes her lack of certain skills and seeks to expand her music skills to better meet the needs of her clients
during a gait training session with music therapy, a patient with a traumatic brain injury (TBI) is having difficulty 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. TBI patients can be easily distracted by too much stimulus. research shows that just metronome training can be more effective
a MT should refer clients to other professionals based on
client needs. client needs must be the overriding concern in all referrals. these needs should include economic and availability factors, but neither of these alone are the best answer
a MT has observed a colleague falsifying continuing education documents. the therapist should FIRST
consult with the colleague involved. the CBMT code of professional practice stipulate that this should be the first action for such a scenario
in order to stay current with information on autism and best practices, the most reliable resource is
peer-reviewed publications. articles published in peer-reviewed journals are sub
When preparing a hospital patient for termination of MT treatment, it is always necessary to
provide adequate closure for the patient. closure is an important and necessary part of the therapy process
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?
entrances. cuing entrances the most important conducting gesture because it allows the clients to play at correct times
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
share histories of other clients for comparative studies
A music therapist is seeing a bereaved 3-year-old child whose mother 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
magical thinking. children at this age often believe that thoughts can make things happen
characteristics of a 5-8 year old include (2)
awareness of feelings and concrete thinking
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
delineate a small area of the room to be used and remove possible distractions. when doing an assessment, it is the therapist's responsibility to create an environment or space conductive to the client's needs.
Photography and video during music therapy sessions with competent adults are acceptable
with WRITTEN consent from the client and faculty
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?
discuss the client's feelings toward God. this allows them to express belief systems and feelings that could then be explored during the session
A music therapist working with a child with a pervasive developmental disorder is being reimbursed by the parent's 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?
narrative summary of MT goals and objectives with graphic representation of client's progress.
graphic representation of client progress along with a narrative summary explaining the results is the best documentation to assist the insurance carries in understanding client progress during the course of therapy
Over the course of three months, a music therapy 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?
review documentation from the past sessions and evaluate possible modifications of the treatment plan.
it is appropriate and necessary to continually review and revise the treatment plan and modify treatment approaches appropriately
The task of having children clap their hands to a rhythmic stimulus could be BEST used to assess
sensorimotor integration. clapping requires integrating the rhythmic stimulus with movement
what is a programmatic consideration to be addressed during the initial treatment planning phase?
selection or design of a data collection system to use during treatment.
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?
expressing feelings about the loss of the relationship. this assists the client in moving through the emotions and grief, allowing for a more effective termination and transition to a new therapist
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
recognize that MT may be contraindicated at this time. MT may be contraindicated if it leads to increased client discomfort or pain
when a client reaches some of his goals in less time than expected, the MT should
revise the treatment plan. a MT must review and revise the treatment plan continually in order to best meet the needs of the client
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?
teach the client to use progressive relaxation with music. this course of action will assist the client in dealing with her stress after release from the facility
Which of the following can be used to assess a client's kinesthetic perceptual abilities?
movement to music. kinesthetic perceptual abilities facilitate the recognition of body position and activity through physical sensations stimulated by movement
which of the following is the BEST way to assess a client's rhythmic stability?
instruct the client to maintain a rhythmic ostinato
Which of the following is the MOST structured group songwriting experience?
ask clients to fill in the blanks to a familiar song where key words have been deleted. this is the most structured songwriting experience because the clients have been provided a song, melody, and most of the lyrics, leaving the task of selecting a small number of words to fill in the blanks
when an initial referral is received for a MT assessment in a hospital setting, what intake information about the patient should the music therapist obtain FIRST?
name, medical record or ID number, and DOB. [Show Less]