CBMT Practice Test Flashcards
A music therapist would like to compare the outcomes from a client’s music therapy sessions and physical therapy sessions. Which of the following is the BEST way to do this?
Use an appropriate standardized measurement tool that is also used in physical therapy.
why: Using a standardized measurement tool in both
therapies would provide the same type of data that could
then be compared.
A client with Autism Spectrum Disorder (ASD) claps to
musical accompaniments, clapping when the music plays
and stopping when the music stops. The music therapist
uses these responses to assess which of the following
areas of functioning?
sensorimotor
why: Sensorimotor action of clapping involves both motor
and auditory/sensory pathways.
Determining a client’s musical background and skills is an
important task during which phase of the music therapy
plan?
assessment
why; Determining a client’s musical background and skills
should occur during the music therapy assessment
phase.
A music therapist is working with a patient who has
suffered a stroke on the left side of the brain and exhibits
significant language comprehension issues. It is MOST
effective to provide ongoing acknowledgement and
reflection of the client’s responses through simple nonverbal
cues and gestures or simple singing of directions through a song?
simple nonverbal cues and gestures
why: People with a left-brain
stroke do much better overall
comprehending nonverbal cues and gestures. Right
hemisphere strokes tend to do better with short, simple
verbal cues. Singing does not enhance a stroke patient’s
comprehension; it is more effective to use nonverbal
gestures.
A music therapist is working with a group of
young women with eating disorders. The goal is to
verbalize thoughts and feelings. The music therapist
wants to lead a group vocal improvisation, but the women
find it difficult to use their voices in a free and expressive
way. Which of the following is the music therapist’s BEST
action to prepare the group for vocal improvisation?
Do a vocal call-and-response with the therapist
leading.
why: A callandresponse
feels safer than improvisation,
but allows the therapist to introduce more and more
creative vocal sounds to get clients to feel more
comfortable using their voices freely.
What is a purposefully sequenced
course of therapy with a specific outcome?
treatment plan
Why: A treatment plan is a hierarchy of objectives and
target behaviors that outlines the expected course of
therapy sessions.
what is is a test or observation used to
identify a person’s strengths or needs; used when
designing a treatment plan.
assessment
A music therapist in private practice has been working
with an adult outpatient client for a year and all goals have
been met. Ongoing assessment indicates no new goals
and the client has been functioning well for some time
now. As the music therapist prepares the client for
termination, what is important to
consider?
treatment summary of the client’s progress, date for
the last session, and recognition of feelings
regarding termination
why: Treatment summary of the client’s progress in music
therapy, date for the last session, and recognition of
feelings regarding termination are all required for
termination.
A music therapy referral is made for a 31weekold
premature infant in the NICU. To ensure the
music therapist is following current guidelines for clinical
practice, what is the therapist’s BEST
course of action when completing the treatment plan?
Research clinical literature for evidence-based
protocol.
why: This population is medically fragile and the patient
could be harmed without knowledge of advanced
practice methods. The music therapist should consult
The Journal of Music Therapy and Music Therapy
Perspectives, along with other reputable referred journals
to research evidencebased
protocol and best practices.
A child with Autism Spectrum Disorder (ASD) who
communicates nonverbally
spends much of the initial
session exploring the environment of the room, touching
the walls, and playing instruments that the music therapist
has set out in the treatment room. What
should the music therapist concentrate on FIRST?
engaging the child by reflecting the child’s actions
and mood through improvisation
why: Reflecting the child’s action and mood will establish
rapport necessary for treatment.
In a group home for young male offenders, a music
therapist meets weekly with a group of clients. During a
session, each client is asked to pick a song recording to
communicate something about themselves to the others
in the group. The therapist and the group members then
verbally reflect thoughts and feelings that are shared in
relationship to the chosen song. It is MOST likely that the
music therapist is operating from what theoretical orientation?
humanistic
why: This example is most closely aligned with a
humanistic approach because the client is allowed to
make choices and express feelings and thoughts, and the
therapist is providing feedback and support in an open
and accepting manner while encouraging others to do
the same.
A patient with latestage
dementia has not vocalized in
several years. During the assessment process, the patient
makes ongoing attempts to sing “Na, na, na, na” when
presented with childhood chants. The music
therapist should conclude that music therapy may
elicit vocal responses.
why: Singing familiar songs of childhood may elicit vocal
responses in late-stage
dementia patients who otherwise
are nonverbal.
in what theoretical orientation approach would the therapist
identify and interpret aspects of the client’s choice
of song and response to it in relation to his emotional
development.
psychodynamic approach
Which of the following interventions BEST addresses a goal of increased self-esteem? A. lyric analysis B. guided imagery C. performance ensemble D. music appreciation
C. performance ensemble
why: A performance ensemble would allow a client to
engage in a process in which they experienced a sense
of success, which would increase feelings of self-esteem.
To receive third party reimbursement for music therapy
services, a music therapist is required to include a code
for the specific procedures used in music therapy
treatment. These codes are defined in what?
Current Procedural Terminology® (CPT).
description: CPT provides numeric codes for the services that are provided.
A military veteran undergoing treatment for PostTraumatic
Stress Disorder is enrolled in beginning guitar
lessons with a volunteer instructor at the Veterans Affairs
(VA) hospital where he receives his treatment. The veteran
experiences recurrent distressing memories of his combat
experiences, hypervigilance, and difficulty experiencing
positive emotions. The veteran tells the music therapist
during a large group session that he is enjoying guitar
lessons and is using the guitar to relieve stress. What is the music therapist’s BEST action?
Recommend that the veteran further explore how to
use music independently for self-care in individual music therapy.
why: The music therapist can facilitate the guitar playing as a selfcare tool, whereby the veteran can use guitar and
other music techniques as part of his treatment, as well
as a leisure skill.
A patient with latestage
dementia has aphasia, difficulty
following directions, and significant memory loss. To
develop a treatment plan that reflects the patient’s needs
and interests, what should be the music
therapist’s FIRST action?
Consult with the patient’s caregiver to determine
music preferences.
why: The patient’s caregivers are the best source of this
information in the absence of the patient’s ability to
provide it.
Children with Down syndrome often have mild hearing
loss that can be difficult to detect. During the music
therapy assessment, this hearing loss would MOST
impact which of the following responses?
communicative
why: Communication is the most pervasive domain related
to hearing loss.
A music therapist is working with an older adult client
diagnosed with depression. Which of the following is the
music therapist’s BEST approach to help elevate the
client’s mood?
A. Incorporate progressively more stimulating client preferred music.
B. Play slower, somber music to match the client’s
activity level.
A. Incorporate progressively more stimulating client preferred music.
why: Progressively more stimulating client preferred music
can increase motor activity and physical responses by
increasing heart rate and oxygen saturation. Coupled
with pleasant associations with preferred music, these
responses can be effective in elevating mood.
A music therapist is assisting a terminally ill client who is preparing for his impending death. The BEST choice of
music for the client’s final hours is music that has been
A. Selected by the client
B. designed to elicit relaxation.
C. selected previously by the family or significant
others.
A. Selected by the client
Why: It is important for a client to experience a sense of
control. Allowing the client to select music addresses
this need.
The act of focusing on a particular object for a period of
time while simultaneously ignoring irrelevant information
that is also occurring is called
selective attention.
why: Selective attention is the act of focusing on a
particular object for a period of time while simultaneously
ignoring irrelevant information that is also occurring.
Which of the following must be submitted to third-party
payers when seeking reimbursement for music therapy
services?
A. diagnostic codes, music therapy credentials, and
billing forms
B. cost-benefit
analysis, diagnostic codes, and music
therapy credentials
C. billing forms, cost-benefit
analysis, and music
therapy treatment plan
D. music therapy treatment plan, music therapy
credentials, and diagnostic codes
A. diagnostic codes, music therapy credentials, and
billing forms
why: Diagnostic codes provide the classification of disease by diagnosis and are required by third-party
payers when seeking reimbursement. Music therapy credentials are required to prove certification before practitioners can be included in insurance plan networks. Billing forms are required in order to bill for services.
During a music therapy session, a client experiences an
emotional reaction related to an impending loss. This is
typically referred to as
A. anticipatory grief.
B. affective state.
C. bereavement.
D. complicated grief.
A. anticipatory grief.
why: The emotional reaction that a client may experience
before an impending loss is typically referred to as
anticipatory grief.
A student who typically communicates nonverbally
becomes more vocal during a session, with increased
humming and babbling. Which of the following should the
music therapist do FIRST to facilitate increased vocal
production?
A. Imitate the student’s sounds.
B. Play a familiar song.
C. Add rhythmic accompaniment.
D. Introduce additional sounds.
A. Imitate the student’s sounds.
why: Vocalizations can be encouraged and shaped as the
therapist imitates the student’s spontaneous sounds and
then shapes structures through vocal/instrumental
improvisations.
When working within adult oncology, which of the
following is the BEST reason to prioritize a music therapy
referral for a particular patient?
acute pain unmanaged by medication
why: Pain is associated with several physical
complications such as increased blood pressure,
respiratory rate, pulse, anxiety, fear, and distress; these
symptoms may complicate medical procedures. Acute
pain not well managed by medication would be the best
reason to prioritize a patient referral for music therapy
services.
Which of the following is being used when the music
therapist organizes the session into a specific order,
creating music experiences for the beginning, middle, and
end of the session?
A. fading
B. chaining
C. sequencing
D. shaping
Sequencing
why: sequencing is understanding how a series of objects,
events, and time occur in a specific and logical order.
This illustrates sequencing the session in the order of
first, middle, and last.
What is affective state
sentimental condition which one’s feelings control their thoughts
people who realize they’ve made a mistake
What are your sensorimotor skills?
involve the process of receiving sensory messages (sensory input) and producing a response (motor output)
Rett’s Sydrome
a disorder in females, following a normal development up to 2-1/2 years. decelerated head growth, diminishing physical coordination, and impaired social and language development
