During a time of social unrest related to racial issues, a client becomes very agitated due to
concern for the safety of their daughter's biracial family. Which of the following interventions
would BEST provide a safe and supportive therapeutic space that can accommodate intense
emotional experiences?
A. composing a progressive jazz piece to reflect a personal sense of calm and relaxation.
B. engaging in musical trivia game using songs with racial issues in the lyrics and engaging in
discussion.
C. writing lyrics for a 3-part traditional blues structure in a 12-bar blues musical format.
D. musically reflecting on a podcast that explores racial issues in the nation. - ANSC. The
traditional 3-part blues structure involves stating what is wrong, describing how bad it is, and
then expressing hope for the future by influencing change. Engagement in this activity would
allow the client to express emotional energy and then redirect to be more hopeful.
A music therapist has begun a new group at a shelter for woman survivors of abuse and
trauma. The group goals are to empower the 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 music therapist 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 -
ANSD. Fill-in-the-blank songwriting in which clients insert their own words and phrases into the
song they used for lyric analysis allows for clients to express themselves but provides enough
structure within an already established song for new clients to feel comfortable.
A music therapist audio records all songs written and performed by her clients. The music
therapist is presenting a case study at a national conference about her work with a female client
who experienced domestic abuse. However, the music therapist is no longer working with the
client. In order for the music therapist to present this case study, including audio recordings, the
music therapist must
A. acquire permission from the client for the presentation of the audio recordings only.
B. obtain consent from the client for the presentation of the case study and the audio recordings
of the song.
,C. disguise the identity of the client in any materials presented at the conference so that client
consent is not needed.
D. inform the conference attendees that consent could not be obtained because the therapeutic
relationship had been terminated. - ANSB. Presenters should obtain consent from clients for
presentation of case study material as well as audio recordings at conferences and educational
events. Given that presentation opportunities may arise after a therapeutic relationship has
been terminated, it is important that clients are asked for consent for potential presentation of
case material at conferences or educational gatherings. This consent will include HIPAA
language in terms of protection of the client's identifiable information. A separate consent must
be sought at the beginning of the treatment for audio recording of any music making and the
use of such audio recordings in future presentations.
Which of the following types of scale on the keyboard uses only black keys?
A. aeolian
B. ionian
C. pentatonic
D. lydian - ANSC. A pentatonic scale can be played on only black keys.
A music therapist writes the objective: "Client will identify at least 3 adaptive coping skills for
practice in 80% of sessions by 05/01/2021." Which part of the objective represents the T in
SMART objective writing?
A. adaptive coping skills
B. at least 3
C. 80% of sessions
D. by 05/01/2021 - ANSD. SMART stands for Specific (S), Measurable (M), Achievable (A),
Realistic (R), and Timeframe (T) (Hanser, 2018). In this objective, "by 05/01/2021" indicates the
T timeframe (T) and boundary for accomplishment.
A client is scheduled to be discharged from hospice in a few days because they are clinically
stable. The music therapist can BEST support the client's closure process by
A. initiating a song-based legacy project with the client in the final session.
B. inviting caregivers to participate in active musicking with the client.
C. discussing with the client therapuetic uses of music outside of music therapy.
D. recording several songs to be given to the client by the nurse. - ANSC. By exploring how
music can be used beyond the completion of music therapy, the client is empowered to be a
stakeholder in their health journey by drawing from the resources accessed in music therapy.
A 7-year-old child diagnosed with autism spectrum disorder (ASD) level 3 starts exhibiting head
banging behavior halfway through a music therapy session. The therapist is addressing goals of
endurance and attention to task. The music therapist's FIRST response should be to
, A. restrain the child's hands until conclusion of music activity.
B. place a spare helmet on the child's head to prevent further injury.
C. introduce a different song/instrument and observe the child's response.
D. redirect the child with quiet music to decrease head banging. - ANSC. DSM-5 identifies ASD
Level 3 as including: severe deficits in communication, socialization, sensory input, causing
great distress, or difficulty adapting to change. Self-injurious behavior may be due to lack of
communication and/or sensory overload. By adjusting timbre, the music therapist can observe
changes, or produce calming.
A music therapist is assessing a recently admitted 14-year-old client with anorexia nervosa,
restricting type. During an individual interview, the client shares that she loves to dance to pop
music and recently started to play the guitar to her favorite songs. Which of the following is the
BEST intervention to assist the client in accessing and working through her therapeutic issues?
A. movement intervention involving high intensity dance with recorded pop music
B. music-assisted relaxation using live guitar music played by the music therapist
C. individual guitar lessons teaching preferred songs with a therapeutic focus.
D. song lyric discussion involving listening and talking about song themes - ANSC. This
intervention takes into account the client's music preferences of pop/rock music and her music
background of playing the guitar. The music therapist could teach the client how to play the
guitar in order to access and work through therapeutic issues (p. 408).
A client with an intellectual disability is referred for assistance with problem-solving skills needed
to work as an activity assistant in a long-term care facility. The client competently assists with
activities but struggles in appropriately responding to residents' behaviors when the activity
director is not present. Which of the following should be the music therapist's FIRST action?
A. Assess the client's current executive functioning abilities.
B. Support the client's strengths by using music to teach how to manage problem behaviors
exhibited by residents.
C. Develop the client's problem-solving skills to enable independence on the job.
D. Use music to teach the client the sequential steps for what to do when a problem arises. -
ANSA. The client may not have the executive functioning skills needed to safely be
independently in charge of the residents when problems arise. Because the purpose of the
referral is to do this, the first thing to do is assess the client's current executive functioning
abilities to determine if the goal is achievable.
A child with visual impairment and developmental disabilities is learning a schedule by using
tactile objects that represent daily activities, including music therapy. When the child is given the
direction, "check your schedule," he will touch an instrument that serves as a tactile cue to
indicate that it is time for music therapy. He will then keep this instrument until the activity is
finished. Which of the following tangible instruments would be the BEST cue to symbolize music
therapy and also use in this session?
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