Self Assessment Form B – Flashcards

A MT would like to compare the outcomes from a client's MT sessions and PT sessions. Which of the following is the BEST way to do this? A. Talk to the PT about how the physical therapy sessions have progressed. B. Use an appropriate standardized measurement tool that is also used in PT. C. Observe one of the clients physical therapy sessions to compare progress. D. Develop a music therapy evaluation to use specifically with this client.

A MT is working with a client who is depressed and withdrawn. In an improvisational dyad, the music therapist gradually changes the tempo, range, and articulation, while reflecting and supporting any change in playing by the client. Which of the following is the MT MOST likely attempting to encourage? A. improvement in sustained attention B. increased emotional expressiveness C. demonstration of sensory awareness D. Response to musical behavioral cues

A child with cerebral palsy who communicates non-verbally brings an electronic augmentative communication system to group music therapy. The BEST way to plan to accommodate this client's inclusion in a group singing experience is to A. encourage the child to touch 'stop/go'. B. teach the child hand gestures for several song lyrics. C. ask the staff to sing for the child. D. pre-record song lyrics onto the system.

When playing a song for a group of clients, the MT is reminded of feelings of love for a romantic interest. The therapist should: A. continue working and internally acknowledge these feelings. B. block these feelings out and focus on the clients' needs. C. share these feelings with the clients when the song is over D. play this song in future sessions only when feeling uninspired

A client with ASD claps to musical accompaniments, clapping when the music plays and stopping when the music stops. The MT uses these responses to assess which of the following areas of functioning? A. vibroacoustic B. vestibular C. proprioceptive D. sensorimotor

Determining a client's musical background and skills is an important task during which phase of the MT plan? A. evaluation B. termination C. implementation D. assessment

A MT is working with a pt 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 A. detailed instructions which create context B. exaggerated verbal and nonverbal prompts. C. simple singing of directions through a song. D. simple non-verbal cues and gestures.

A MT works in a remote area where the field is not prominent and there are no other practicing MTs. The MT is feeling isolated. Several clients at the hospital where he works are challenging, and he feels that he could really benefit from another person to "bounce ideas off of." Which of the following is the MOST effective way to address the music therapist's immediate need? A. Seek peer supervision through an online community of MTs. B. Connect with a non-music therapy co-worker who can listen and offer feedback. C. Find a therapeutic outlet by playing recreationally with local musicians. D. Attend a conference session that focuses on the MT's concerns.

A child with ASD starts pacing during a MT session. Which of the following is the MT's MOST effective response to redirect the child? A. Tap on the chair B. Chant a rhythmic pattern "it's okay". C. Play sol-do on xylophone. D. Sing a melodic phrase "sit down."

A MT in a private school setting conducts a weekly social skills group for students with high-functioning ASD. Goals include controlling impulses, turn-taking, and reciprocity. Data indicates three of the four students are making progress towards their goals, but one student expresses "music is stupid" and records indicate he participates less than 5% of the time. Which of the following is the MT's BEST action? A. Refer the student to a non-musical social skills group. B. Ignore the student and focus on the remaining group members. C. Position the student in a leadership position. D. Dismiss the student from the group until he can demonstrate cooperation

A MT is completing an initial assessment of an adult client in a hospital setting. The therapist reviews the pt's chart beforehand to gather information about demographics, clinical history, and personal resources. During a brief interview with the patient, the therapist gathers information regarding cultural and spiritual background, family dynamics, and support systems. Which of the following additional information should the MT obtain that may affect the MT session with the client. A. social and interpersonal relationships B. learning styles and academic skills C. music background and preferences D. responses to tempo and pitch

A MT is working with a group of young women with eating disorders. The goal is to verbalize thoughts and feelings. The MT 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? A. Have each woman talk to the group about her fears. B. Let the group pick songs they especially like to sing together. C. Do a vocal call-and-response with the therapist leading. D. Help them write a group song using words from each woman.

A Mt is working at a shelter house with women survivors of abuse and trauma. The new MT group seeks to empower women and facilitate emotional expression. After a lyric analysis intervention in which clients discuss themes of healing and recovery, which of the following interventions should the mt facilitate NEXT? A. music improvisation in which clients play a variety of unpitched instruments focusing on themes of trauma B. music-centered relaxation in which clients practice progressive muscle relaxation with recorded music C. group singing in which clients sing along to an original recording of another song with a therapeutic theme D. Fill-in-the-blank songwriting in which clients insert their own words and phrases into the song

A MT is aware of what she is thinking and feeling during the session and can communicate this to clients when appropriate. This is an example of developing the therapeutic relationship by being: A. reflective B. clinical C. authentic D. accessible

During a MT session, a client demonstrates a pattern of behavioral responses towards the therapist based on a significant past relationship outside of music therapy. This is referred to as: A. appropriation B. misplacement C. transference D. resistance

Which of the following is a purposefully sequenced course of therapy with a specific outcome? A. assessment B. objective C. target behavior D. treatment plan

During a music therapy session a client has a grand mal seizure. Which of the following should be the MT's FIRST action? A. Leave the room to call for help. B.Move harmful objects away from the client. C. Restrain the client by holding his arms and legs. D. Put something between the client's teeth.

A MT has been asked to write a song to help an adult with intellectual disabilities remember the steps involved with teeth brushing. The MOST effective song lyrics to promote functional independence includes: A. "I squeeze paste on the brush" to an unfamiliar tune. B. "I like to brush my teeth" to a familiar tune. C. "My toothbrush is blue" to an unfamiliar tune. D. "I remove the cap from the tube" to a familiar tune.

A MT 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 mt prepares the client for termination, which of the following are important to consider? A. treatment summary of the client's progress, date for the last session, and recognition of feelings regarding termination B. recognition of feelings regarding termination, transition plan to another expressive arts therapy, and date for the last session C. treatment summary of the client's progress, date for the last session, and summary of MT's feelings about the client. D. recognition of feelings regarding termination, date for the last session, and summary of client's goals and progress to the client's family.

A mt referral is made for a 31- week-old- premature infant in the NICU. To ensure the mt is following current guidelines for clinical practice, which of the following is the therapist's BEST course of action when completing the treatment plan? A. Determine the goals and objectives with the nursing staff. B. Consult with the interdisciplinary team for best practices. C. Research clinical literature for evidence-based protocol. D. Ask the parents or caregivers for additional information.

A music therapist is planning a session for a group of residents in a nursing home, focusing on reality orientation and reminiscence. To increase the number of reminiscent statements that the residents make during the session, the therapist should plan to focus their attention on: A. singing client-preferred songs from the residents' young adult years B. viewing sentimental album covers from various decades C. playing popular musical instruments from the residents' teenage years. D. interviewing each other about musical events they attended in their youth

A MT is working with an adult inpatient psychiatric group. The therapist is leading an instrument improvisation expereience and notices that one of the men in the group begins breathing rapidly and beating his drum very intensely. He gets up from his chair, throws his drum to the floor, starts pacing around and hitting his mallet aggressively on chairs in the circle. Which of the following should be the MT's 1st action? A. Ask the client to pick up the drum and return it to the instrument box. B. Tell the client he needs to leave the group immediately and not return until he has calmed down. C. Ensure the group members' safety and call for help from another staff member. D. Ignore the client's behavior as he will work through it on his own.

A child with ASD who communicates non-verbally spends much of the initial session exploring the environment of the room, touching the walls, and playing instruments that the mt has set out in the treatment room. Which of the following should the mt concentrate on FIRST? A. engaging the child by reflecting the child's actions and mood through improvisation B. Developing compliance for in-seat behaviors through positive reinforcement C. Increasing the child's attention span through listening experiences requiring discrimination of the instruments heard D. Encouraging the child to vocalize while playing instruments.

When asking a client to improvise a melody using only the black keys on a piano, the MT should provide an accompaniment based on which of the following scales? A. Ionian B. Pentatonic C. Whole Tone D. Chromatic

A music therapist is working with a group of students with DD. The MT teaches the children a song about the names of the colors to build skills in which of the following areas? A. affective B. motor C. cognitive D. social

A music therapist writes an objective that is well-defined, specifies the criteria for the behavior, and establishes a timeline. This type of objective is: A. translatable B. defendable C. measurable D. enforceable

In a group home for young male offenders, a mt 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 MT is operating from which of the following theoretical orientations? A. psychodynamic B. holistic C. humanistic D. cognitive

When a music therapist arrives to work at a memory care facility, the spouse of a client expresses sadness that his loved one with late-stage dementia does not recognize him. When the mt enters the client's room, the client is sitting in the corner of the room and staring at the floor. Which of the following strategies should the music therapist include in the session? A. Use the client's favorite song to facilitate a musical interaction between the spouses. B. Play calming music to diminish the client's agitated behaviors. C. Present a list of preferred songs for the client to select. D. Improvise a song about love and marriage with the spouse present.

A pt with late-stage dementia has not vocalized in several years. During the assessment process, the pt makes ongoing attempts to sing "na, na, na, na" when presented with childhood chants. The mt should conclude that music therapy may: A. elicit vocal responses B. restore lost speech skills C. be met with frustration D. not effectively benefit this patient

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

A 6-year-old with ASD isconsistently meeting his commmunication goals during mt sessions, but the family reports that mt is the only place where the child willingly engages in his environment. To facilitate transfer of progress into the client's everyday life, which of the following is the mt's BEST action? A. Explain to the family that it is typical for children with ASD to not transfer behaviors from therapy. B. Discuss ways the family can independently integrate music at home to encourage interaction. C. Continue current music therapy interventions, to enforce stronger brain connections. D. Explore ways to incorporate additional musical involvement through adaptive music lessons.

A MT is facilitating a mt group for children with emotional and behavioral disorders. One of the goals of the group is to improve social skills. The therapist is attempting to structure and organize mt experiences within the session to create a therapeutic contour focused on this goal. Following a greeting song, which of the following interventions should be the mt's next step? A. an improv experience that facilitates turn-taking and interaction B. rewriting a popular song to reflect appropriate emotional self-regulation strategies C. Breathing and movement to practice relaxation using a repetitive guitar chord progression D. Live guitar and singing of a closing song using a client-preferred music genre.

To receive 3rd party reimbursement for mt services, a mt is required to include a code for the specific procedures used in mt treatment. These codes are defined in the: A. Current Procedural Terminology B.Prospective Payment System C. Minimum Data Set D.Physicians' Desk Reference

A group of clients in an outpatient mental health setting have verbalized that they lack healthy support systems. Which of the following interventions BEST addresses this within the mt context? A. songwriting that focuses on qualities of positive relationships B. group singing of popular songs chosen by the group members C. rhythmic improvisation within a framework provided by mt D. structured group movement exercises to upbeat and rhythmic music

A military veteran undergoing treatment for PTSD is now enrolled in beginning guitar lessons with a volunteer instructor at the BA hospital where he receives his treatment. The veteran experiences recurrent distressing memories of his combat experiences, hyper vigilance, and difficulty experiencing positive emotions. The veteran tells the mt during a large group session that he is enjoying guitar lessons and is using the guitar to relieve stress. Which of the following is the mt's BEST action? A. Give the guitar instructor advice on what techniques to teach the veteran that will help him manage his symptoms and provide greater relaxation. B. Recommend that the veteran further explore how to use music independently for self-care in individual mt. C.Encourage the veteran to write songs independently with positive lyrics, so he can perform them on the guitar and retrain himself to feel happiness. D. Suggest that the veteran make a list of songs that remind him of his time in active duty and have the guitar instructor teach him to play those songs.

A pt with late-stage dementia has aphasia, difficulty following directions, and significant memory loss. To develop a treatment plan that reflects the patient's needs and interests, which of the following should be the mt's FIRST action? A.Interview the pt to determine music preference B. Consult with the pt's caregiver to determine music preferences. C. Ask the pt to indicate preferences after listening to a variety of recorded music. D.Give the pt a questionnaire about music preferences.

Children with Down syndrome often have mild hearing loss that can be difficult to detect. During the mt assessment, this hearing loss would MOST impact which of the following responses? A. social B. communicative C. emotional D. physiological

A MT has been working with a client at a residential facility for children with intellectual disabilities for several years. The client was referred to mt due to limited communication abilities, and has made exceptional progress throughout treatment. Recently, however, the client seems to have reached a plateau and has not met an objective in several months. The mt has varied the strategies and techniques used with this client, but the changes have no affected the client's progress. The facility offers multiple types of therapy, but clients have limited blocks of time during which they can receive therapy services. Which of the following is the mt's BEST action? A. Continue to try other techniques until finding something that the client responds to. B. Communicate only verbally, without music, until the client makes progress. C. Concludes that the client has become resistant to mt. D. Consider termination of mt and referral to another therapy.

A music therapist is working with an older adult client diagnosed with depression. Which of the following is the mt's BEST approach to help elevate the client's mood? A. Incorporate progressively more stimulating client-preferred music B. Introduce the client to a new song to stimulate interest. C.Play slower, somber music to match the client's activity level D.Sing an upbeat song with positive lyrics.

A mt 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. D. designed for spiritual transformation