1.
A document that includes a summative statement of therapeutic services received, progress toward specified goals and objectives, and recommendations for follow-up as related to the individual treatment plan represents what phase of therapy?
Correct Answer
D. Termination
Explanation
Answer D: Documentation representative of the termination phase of therapy provides information on client progress toward goals and recommendations for the termination or continuation of music therapy services.
2.
An individual has the following cluster of symptoms:
-failure to develop peer relationships appropriate to developmental level
-apparently inflexible adherence to specific, nonfunctional routines or rituals
-clinically insignificant general delay in language
-clinically insignificant 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?
Correct Answer
A. Autism Spectrum Disorder
Explanation
The cluster of symptoms you've described corresponds to Asperger's disorder. Asperger's disorder was a subtype of autism spectrum disorder (ASD) in previous diagnostic manuals, such as the DSM-IV, but it is no longer a separate diagnosis in the DSM-5, which was published in 2013. Instead, all of these symptoms would fall under the broader umbrella of autism spectrum disorder (ASD).
Therefore, the specific diagnostic label for the individual with these symptoms, according to the DSM-5, would be Autism Spectrum Disorder (ASD). The DSM-5 no longer distinguishes between Asperger's disorder, autistic disorder, and other subtypes of ASD; instead, it uses a single diagnosis of ASD with varying levels of severity.
3.
Upon discharge, a patient is able to perform morning activities of daily living (ADL) when the music therapist is singing a song that provides verbal and temporal cues to assist with sequencing. The patient's insurance will cover continued occupational therapy, but not music therapy. Which of the following is the BEST course of action for the music therapist.
Correct Answer
C. Make a tape of the song to pass on to the occupational therapist who will be working with the patient.
Explanation
Answer C: Since the patient has not reached independence and will continue to have occupational therapy, it is appropriate for the music therapist to pass the music to the occupational therapist.
4.
A music therapist is working with a respiratory therapist to regulate a patient's breathing during weaning from the mechanical ventilator. Which of the following would be the MOST effective?
Correct Answer
A. A rhythmic music matched to the patient's breathing rate
Explanation
Answer A: Using principles of rhythmic entrainment, the music therapist would match the patient's breathing rate before, during, and after the weaning procedure for the purpose of stabilizing respiration rate and sustaining oxygen saturation levels during the procedure.
5.
In an educational setting, all of the following are sources for assessment data EXCEPT
Correct Answer
D. Peer interview.
Explanation
Answer D: Interviews with peers are not an appropriate/valid source for assessment data. A therapist would consult only with legal guardian(s) and/or a direct relative/caregiver due to HIPAA privacy rules.
6.
During an initial music therapy assessment of an individual who is comatose, the presentation of loud and abrupt auditory stimuli is used to assess
Correct Answer
B. The startle reflex
Explanation
Answer B: Loud and abrupt music may induce a startled response and assess the startle reflex.
7.
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 refuses to stand up and dance with his wife. The BEST intervention would be to recommend that the wife
Correct Answer
C. Hold her husband's hands and move in time to the music.
Explanation
Answer C: Having the wife hold her husband's hands and move in time to the music with him is an intervention that brings both partners together in an active interaction that approximates dancing and facilitates intimacy.
8.
A music therapist is working with a group of nonverbal and nonambulatory clients. To increase their one-to-one social interactions, the music therapist introduces a dyadic movement experience. Which of the following should the therapist ask the group to do?
Correct Answer
C. Mirror the movements of a partner.
Explanation
Answer C: A mirroring movement experience involves imitating a partner's movements, which requires 1:1 interaction.
9.
A music therapist has observed a colleague falsifying continuing education documents. The therapist should FIRST
Correct Answer
C. Consult with the colleague involved.
Explanation
Answer C: The CBMT Code of Professional Practice as well as the AMTA Code of Ethics stipulate that this should be the first action for such a scenario.
10.
In order to stay current with information on autism and best practices, the MOST reliable resource is
Correct Answer
D. Peer-reviewed publications.
Explanation
Answer D: Articles published in peer-reviewed journals are subjected to critical review process.
11.
A music therapist is working in an adult outpatient chemotherapy clinic. The therapist notices an unfamiliar patient who is anxiously pacing in the waiting area. The patient tells the therapist he is extremely frightened of the intravenous needles used for the treatment. Before they finish talking, the patient is called in for the procedure. If there are no scheduled appointments, the therapist should
Correct Answer
D. Offer immediate therapeutic intervention with the agreement of the patient and an order for treatment.
Explanation
Answer D: With the permission of the patient and an order for treatment, the music therapist can offer immediate treatment.
12.
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?
Correct Answer
A. Quadriplegia
Explanation
Answer A: Quadriplegia involves paralysis from the neck down, critically impairing breathing.
13.
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
Correct Answer
A. Magical thinking.
Explanation
Answer A: Children at this age often believe that thoughts can make things happen.
14.
A music therapist records observations of a client's self-stimulatory behaviors every 2 minutes. This type of recording is referred to as
Correct Answer
C. Interval.
Explanation
Answer C: Interval recording involves making one observation during a designated period of time.
15.
A music therapist is completing an assessment on a patient in a skilled nursing facility. The therapist observes this patient has a flat affect when interacting with others, demonstrates rigidity in turning when participating in movement activities, experiences tremors while holding instruments, and walks with a shuffling gait while returning to her room. The therapist should expect which of the following diagnoses in the patient's chart?
Correct Answer
B. Parkinson's disease
Explanation
Answer B: The symptoms described are those of Parkinson's disease. The condition is especially indicated by tremors and shuffling gait.
16.
In a cardiac rehabilitation program for patients who have had open heart surgery, a music therapist leads a weekly music therapy session immediately after the patients exercise. To BEST help the patients learn and generalize stress management skills, the music therapist should
Correct Answer
D. Guide a music-assisted relaxation experience and provide each patient with a copy of the exercise to use at home.
Explanation
Answer D: This provides the patients with a stress management experience and a tool to practice at home.