A music therapist in a public school is about to conduct an initial assessment for a 5-year-old
boy with ADHD. The assessment is scheduled to take place in the boy's classroom. To
facilitate the child's engagement MOST effectively, the music therapist should
A. frequently remind the boy to stay in his seat and focus on the musical activity.
B. delineate a small area of the room to be used and remove possible distractions.
C. request that a classmate of the boy be present to act as a role model.
D. observe the boy's spontaneous actions to see how he reacts in this environment. - ✔B.
When doing an assessment, it is the therapist's responsibility to create an environment or space
conducive to the client's needs. The child described needs a space with minimal distractions
due to his ADHD.
Using rhythmic movement as a therapeutic technique to address gait dysfunctions aligns
MOST directly with which of the following treatment approaches?
A.neurological
B. behavioral
C. humanistic
D. developmental - ✔The neurological approach addresses gait dysfunctions that
stimulate music perception and pair it with motor responses.
. A music therapist is reviewing a pilot study in a peer-reviewed journal to possibly apply the
intervention with current patients. In the study, the researchers concluded that the
participants benefited from the music therapy intervention. Which of the following is the
PRIMARY concern when applying the music therapy intervention used in the article?
,A. sampling bias
B. lack of replication
C. type II error
D. low validity - ✔B. A pilot study lacks replication. The results from the study may be
unique to the participants in the study.
A music therapist is working with a client who is depressed and withdrawn.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 music therapist 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 - ✔B. Encouraging the client to be more musically
expressive can be helpful in mobilizing emotions, which often is an important step in
helping the client to examine their experience of depression.
15. In community music therapy settings, what is a PRIMARY challenge music therapists
are tasked with addressing in order to ensure that clinical services provided to both clients
and community are ethical and competent?
A. effective communication with funding sources for the treatment setting
B. self-exploration in pursuit of cultural humility and reflexivity
C. extensive data tracking to demonstrate the effectiveness of interventions
D. willingness to integrate multimodal interventions into the therapeutic process - ✔B.
Working in community settings challenges the music therapist to be aware of their
intersectional identity and any accompanying assumptions, biases, and prejudices that
come with their cultural perspective.
16. To fully assess a client for music therapy services, a music therapist should use
,A. a variety of musical assessment procedures.
B. non-musical standardized assessment procedures.
C. musical and non-musical assessment procedures.
D. existing assessment tools and procedures. - ✔C. Using both assessment procedures
will give the music therapist the most comprehensive information about the client.
17. A music therapist receives a referral for a new client from a nurse who states that the
client "loves music." The music therapist's INITIAL follow-up communication is to
A. contact the client to schedule an assessment.
B. ask the nurse about specific clinical needs.
C. consult with the caregiver about client's music preferences.
D. request a treatment summary from the interdisciplinary team. - ✔B. An appropriate
follow-up with the nurse would be to request more information about clinical needs.
A music therapist has taken a job at a facility with a few older instruments and a limited
budget for music therapy supplies. The music therapist would like to have a client improvise on
a diatonic Orff xylophone while the music therapist plays the piano, but the xylophone is
missing its F and B bars. Which scale, beginning on C, should the music therapist play in to
MOST successfully facilitate this experience?
A. Aeolian
B. harmonic minor
C. Dorian
D. major pentatonic - ✔D. A major pentatonic scale starting on C would use the notes C, D,
E, G, and A, which could all be played on the xylophone.
Several clients who attend a music therapy group in an inpatient psychiatric facility have a
history of non-suicidal self-injury (NSSI). The clients have responded poorly to discussion-based
interventions such as lyric analysis and songwriting. The music therapist believes that an
improvisation using various percussion instruments will best address the clients' goals and elicit
a positive response, but is worried about the possibility of clients taking parts of the
, instruments to use later for NSSI. Which of the following should the music therapist do
to ensure client safety?
A. Do not use improvisation with these clients due to safety concerns.
B. Only let clients without a history of NSSI use instruments during the session.
C. After the session, inspect the clients' rooms for parts of instruments they might have taken.
D. When collecting the instruments, inspect them for any broken or missing parts. - ✔D.
Inspecting the instruments before the clients are allowed to leave the room allows the
music therapist to address any broken or missing parts before self injury is likely to occur.
"Since her admission, Mary has spent most of her time in her room and has not participated in
unit activities." Under which assessment domain would this statement MOST likely be found?
A. psychosocial
B. emotional
C. communicative
D. sensorimotor - ✔A. Psychosocial refers to quantity and quality of interpersonal interaction.
A music therapist in a private school setting conducts a weekly social skills group for students
with high-functioning autism spectrum disorder (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 music therapist'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. When
compliance is a problem, it may indicate that a musical intervention is not appropriate for that
individual.
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