1.
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?
Correct Answer
C. Discontinue music therapy until the child is evaluated by a neurologist.
Explanation
The best course of action for the music therapist is to discontinue music therapy until the child is evaluated by a neurologist. This is because the therapist should prioritize the client's safety and well-being, and a seizure is a serious medical event that requires immediate attention and evaluation by a medical professional. Continuing with the intervention without proper evaluation could potentially put the client at risk.
2.
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
Correct Answer
D. Continue the assessment to determine if music can be used effectively with the patient.
Explanation
The correct answer is to continue the assessment to determine if music can be used effectively with the patient. This is because the spouse's report may not accurately reflect the patient's preferences or potential benefits from music therapy. It is important for the music therapist to gather their own information and assess the patient directly to determine if music therapy can be beneficial in their case. Seeking guidance from medical staff is also important, but it should not be the sole basis for discontinuing the assessment.
3.
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.
Correct Answer
D. 1, 2, and 4 only
Explanation
The music therapist, working in an improvisational model, might meet the child by playing music to express the intensity of her crying (option 1). This can help the therapist connect with the child's emotions and create a safe space for her to express herself. Reflecting the child's sound and breathing with careful musical phrasing (option 2) can also help the therapist establish a musical dialogue with the child and build trust. Singing without words so the child hears another voice that corresponds to how she is feeling (option 4) can provide emotional support and validation for the child's experience. Option 3, comforting the child by holding and rocking her while singing soothing lyrics, is not mentioned as a possible action in the given scenario.
4.
In order to stay current with information on autism and best practices, the MOST reliable resource is
Correct Answer
A. Peer-reviewed publications.
Explanation
Peer-reviewed publications are the most reliable resource for staying current with information on autism and best practices because they undergo a rigorous review process by experts in the field before being published. This ensures that the information presented is accurate, credible, and based on scientific research. Workshops, magazine articles, and the internet may provide valuable information, but they may not always be peer-reviewed and therefore may not have the same level of reliability.
5.
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
Correct Answer
C. Encourage each client to contribute a personal thought for use in the lyrics.
Explanation
To establish trust within the group, the music therapist should encourage each client to contribute a personal thought for use in the lyrics. This approach allows the clients to express their individuality and share their personal experiences, which can help them feel heard and validated. By involving the clients in the songwriting process, the therapist creates a collaborative and inclusive environment that fosters trust and connection among the group members.
6.
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?
Correct Answer
B. Current stage of the infant's neurological development
Explanation
The current stage of the infant's neurological development is the most important piece of information for the therapist to keep in mind when considering music therapy as a possible treatment. This is because the therapist needs to understand the infant's neurological capabilities and limitations in order to design an appropriate and effective music therapy program. The therapist will need to tailor the music therapy interventions based on the infant's developmental level to ensure that it is safe and beneficial for the infant's specific needs.
7.
A new music therapist with specialized training moves into a community which has only three music 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
Correct Answer
C. Accept these clients only after speaking with their current music therapists about the situation.
Explanation
The new music therapist should accept these clients only after speaking with their current music therapists about the situation. This is the most ethical and respectful approach, as it shows consideration for the existing therapeutic relationships and allows for open communication between all parties involved. By speaking with the current therapists, the new therapist can gather important information about the clients' needs and preferences, and determine if they would be a good fit for their own private clinic. This approach also ensures continuity of care and avoids any potential conflicts or misunderstandings.
8.
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?
Correct Answer
B. A7
Explanation
The secondary dominant-seventh chord that should be chosen for the most direct transition from G major to D major is A7. In the key of G major, the dominant chord is D7. Since D major is the new key, the dominant chord in D major is A7. Therefore, using A7 as a secondary dominant-seventh chord would create a smooth and direct transition from G major to D major.
9.
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 an 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 an 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
Correct Answer
D. Each person had his or her own subjective experience.
Explanation
The discussion among the clients reveals that each person had a different experience and perception of the music. Client A found it frightening, Client B had a peaceful image, Client C felt anxious, and Client D found it calming. This suggests that the music had different effects on each individual, highlighting the subjective nature of their experiences.
10.
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?
Correct Answer
C. Music from the client's young-adult years
Explanation
The most useful type of music for this situation would be music from the client's young-adult years. This is because individuals with dementia often retain long-term memories better than short-term memories, and music from their past can evoke strong emotions and memories. By playing music from the client's young-adult years, it may help to calm and engage the client, making the showering process easier and more comfortable for both the client and the nursing assistant.
11.
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 client's progress toward this objective?
Correct Answer
A. Record the amount of time the client engages in drum playing for each trial.
Explanation
The objective states that the client should demonstrate on-task behavior by playing the drum for 2 consecutive minutes in three of four trials. To document the client's progress towards this objective, it would be best to record the amount of time the client engages in drum playing for each trial. This data collection procedure directly measures the client's engagement in drum playing, which is the specific behavior targeted in the objective. Counting the number of beats per minute or the number of times the client engages in drum playing does not directly measure the on-task behavior. Recording the amount of time the client is off-task is also not relevant to measuring progress towards the objective.
12.
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?
Correct Answer
B. Adhere to the instructions.
Explanation
The BEST action for the music therapist to take in this scenario is to adhere to the instructions provided regarding safety. This ensures compliance with the established guidelines and maintains a safe environment for both the therapist and the clients.