Practice questions - Official CBMT test.
1.
A 17 year old is demonstrating a sudden decline in grades, increased unexcused
absences, and inability to concentrate when in school. Facial affect has changed from
friendly to flat. When approached, the student states he is fine. Reports indicate the
client responds to music, so a music therapy referral is requested. To assess possible
causes of the change in behavior, a music therapist should FIRST
A.observe the student in other classes.
B. discuss concerns with the guidance counselor.
C. identify current stressors in the student's life.
D. review the student's Individualized Education Plan (IEP). - -C. identify current
stressors in the student's life.
-2.
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 is having difficulty standing up and dancing with his
wife. The BEST intervention would be to recommend that the wife
A. watch a big-band dance video with her husband.
B. sing to her husband as they sit facing one another.
C. hold her husband's hands and move in time to the music.
D. sit silently next to her husband while they listen to the music. - -C. hold her
husband's hands and move in time to the music.
-3.
A 52-year-old woman hospitalized for ovarian cancer requests music therapy to help her
relax and sleep. During the initial session conducted at bedtime, the client shares her
fears and life story before the use of any music intervention. After validating the client's
feelings, the BEST direction for the music therapist to take is to
A. discuss favorite songs important to the client's life.
B. improvise soft guitar music to help the client go to sleep.
C. compose a song together reflecting the client's disclosure.
D. close the session and bring the client's favorite music to follow-up visits. - -B.
improvise soft guitar music to help the client go to sleep.
-4.
A music therapist has been jointly treating a client with vascular dementia and the
client's daughter, once a week for one hour. Recently, the client has become more
withdrawn, presenting with a reduced emotional response and increased passivity.
Despite changes, the daughter continues to encourage the client to be active and
engaged, yet the client is agitated and combative. Which of the following is the music
therapist's BEST response?
Page | 1
,A. Continue treatment using the music to address agitation and combativeness.
B. Discontinue treatment as the client's passivity will increase with disease progression.
C. Remove the daughter from the music therapy session immediately.
D. Re-evaluate the session length and interventions used during music therapy sessions.
- -D. Re-evaluate the session length and interventions used during music therapy
sessions.
-5.
When completing a behavioral assessment, information relating ONLY to behaviors
observed, not interpretation, is considered
A. subjective.
B. irrelevant.
C. prejudicial.
D. objective. - -D. objective.
-6.
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.
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - -B. 1, 2, and 4 only
-7.
"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
-8.
When playing a familiar song with a young client, which of the following therapeutic
exercises will MOST effectively increase sustained attention?
Page | 2
,A. altering note order
B. varying key signature
C. changing note duration
D. modifying time signature - -C. changing note duration
-9.
The last portion of a music therapy SOAP note discusses which of the following?
A. progress summary
B. physician's recommendations
C. plan for treatment
D. provider's assessment - -C. plan for treatment
-10.
A song on the guitar in the key of C needs to be transposed to the key of Eb. Using first
position fingering in the key of C, the therapist needs to place the capo on the
A. 2nd fret.
B. 3rd fret.
C. 5th fret.
D. 7th fret. - -B. 3rd fret.
-11.
Evidence-based practice (EBP) principles require music therapists to take which of the
following into account when planning treatment?
A. best available research; patient characteristics, culture and preferences; and clinical
expertise
B. evidence of past treatment success; therapist knowledge and skills; and treatment
length
C. published music therapy program descriptions; therapist expertise; and assessment
outcomes
D. reviews of past research literature; patient history; and principle of beneficence - -A.
best available research; patient characteristics, culture and preferences; and clinical
expertise
-12.
A music therapist working with a group of four children at an early intervention facility
arrives to find the class is very excited, having just come in from the playground. Which
of the following is the MOST important consideration when choosing a music selection
to begin the session?
A. a familiar song
B. an unfamiliar song
C. a song with an allegro tempo
D. a song with an adagio tempo - -C. a song with an allegro tempo
Page | 3
, -13.
A music therapist with basic guitar skills wants to accompany a song written in the key
of Ab major, using Ab, Db, and Eb7 chords. To allow for the use of all first position
chords and only minimally affect the song's vocal register, the song should be
transposed to the key of
A. B major.
B. D major.
C. F major.
D. G major. - -D. G major.
-14.
A music therapy intern is considering referring a client to her clinical supervisor because
the client demonstrates behaviors reminiscent of the intern's own domineering older
sister. The client's behaviors are eliciting reactions in the intern that are reflective of her
own relationship with her sister. In order to assist the intern's professional
development, the clinical supervisor should suggest that
A. the intern is over-identifying with the client's pathology.
B. the client's transference toward the intern provides insight into the client's
relationship problems.
C. the intern examine how her countertransference is limiting her therapeutic
objectivity.
D. this experience challenges the intern's adequacy to treat this client. - -C. the intern
examine how her countertransference is limiting her therapeutic objectivity.
-15.
A music therapist is conducting a group of clients playing a I-IV-V chordal
accompaniment on tone bars. The music therapist arranges the clients in three groups,
one for each chord. Which of the following is the MOST important conducting gesture?
A. tempo
B. dynamics
C. meter
D. phrasing - -A. tempo
-16.
An adult with severe, chronic asthma receives individual music therapy in an outpatient
rehabilitation clinic. Treatment goals include increasing breath support and developing
intercostal muscle strength to improve voice quality. When selecting song material,
which of the following is the MOST crucial aspect to consider?
A. client preference
B. phrase length
C. tessitura
D. song duration - -B. phrase length
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1.
A 17 year old is demonstrating a sudden decline in grades, increased unexcused
absences, and inability to concentrate when in school. Facial affect has changed from
friendly to flat. When approached, the student states he is fine. Reports indicate the
client responds to music, so a music therapy referral is requested. To assess possible
causes of the change in behavior, a music therapist should FIRST
A.observe the student in other classes.
B. discuss concerns with the guidance counselor.
C. identify current stressors in the student's life.
D. review the student's Individualized Education Plan (IEP). - -C. identify current
stressors in the student's life.
-2.
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 is having difficulty standing up and dancing with his
wife. The BEST intervention would be to recommend that the wife
A. watch a big-band dance video with her husband.
B. sing to her husband as they sit facing one another.
C. hold her husband's hands and move in time to the music.
D. sit silently next to her husband while they listen to the music. - -C. hold her
husband's hands and move in time to the music.
-3.
A 52-year-old woman hospitalized for ovarian cancer requests music therapy to help her
relax and sleep. During the initial session conducted at bedtime, the client shares her
fears and life story before the use of any music intervention. After validating the client's
feelings, the BEST direction for the music therapist to take is to
A. discuss favorite songs important to the client's life.
B. improvise soft guitar music to help the client go to sleep.
C. compose a song together reflecting the client's disclosure.
D. close the session and bring the client's favorite music to follow-up visits. - -B.
improvise soft guitar music to help the client go to sleep.
-4.
A music therapist has been jointly treating a client with vascular dementia and the
client's daughter, once a week for one hour. Recently, the client has become more
withdrawn, presenting with a reduced emotional response and increased passivity.
Despite changes, the daughter continues to encourage the client to be active and
engaged, yet the client is agitated and combative. Which of the following is the music
therapist's BEST response?
Page | 1
,A. Continue treatment using the music to address agitation and combativeness.
B. Discontinue treatment as the client's passivity will increase with disease progression.
C. Remove the daughter from the music therapy session immediately.
D. Re-evaluate the session length and interventions used during music therapy sessions.
- -D. Re-evaluate the session length and interventions used during music therapy
sessions.
-5.
When completing a behavioral assessment, information relating ONLY to behaviors
observed, not interpretation, is considered
A. subjective.
B. irrelevant.
C. prejudicial.
D. objective. - -D. objective.
-6.
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.
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only - -B. 1, 2, and 4 only
-7.
"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
-8.
When playing a familiar song with a young client, which of the following therapeutic
exercises will MOST effectively increase sustained attention?
Page | 2
,A. altering note order
B. varying key signature
C. changing note duration
D. modifying time signature - -C. changing note duration
-9.
The last portion of a music therapy SOAP note discusses which of the following?
A. progress summary
B. physician's recommendations
C. plan for treatment
D. provider's assessment - -C. plan for treatment
-10.
A song on the guitar in the key of C needs to be transposed to the key of Eb. Using first
position fingering in the key of C, the therapist needs to place the capo on the
A. 2nd fret.
B. 3rd fret.
C. 5th fret.
D. 7th fret. - -B. 3rd fret.
-11.
Evidence-based practice (EBP) principles require music therapists to take which of the
following into account when planning treatment?
A. best available research; patient characteristics, culture and preferences; and clinical
expertise
B. evidence of past treatment success; therapist knowledge and skills; and treatment
length
C. published music therapy program descriptions; therapist expertise; and assessment
outcomes
D. reviews of past research literature; patient history; and principle of beneficence - -A.
best available research; patient characteristics, culture and preferences; and clinical
expertise
-12.
A music therapist working with a group of four children at an early intervention facility
arrives to find the class is very excited, having just come in from the playground. Which
of the following is the MOST important consideration when choosing a music selection
to begin the session?
A. a familiar song
B. an unfamiliar song
C. a song with an allegro tempo
D. a song with an adagio tempo - -C. a song with an allegro tempo
Page | 3
, -13.
A music therapist with basic guitar skills wants to accompany a song written in the key
of Ab major, using Ab, Db, and Eb7 chords. To allow for the use of all first position
chords and only minimally affect the song's vocal register, the song should be
transposed to the key of
A. B major.
B. D major.
C. F major.
D. G major. - -D. G major.
-14.
A music therapy intern is considering referring a client to her clinical supervisor because
the client demonstrates behaviors reminiscent of the intern's own domineering older
sister. The client's behaviors are eliciting reactions in the intern that are reflective of her
own relationship with her sister. In order to assist the intern's professional
development, the clinical supervisor should suggest that
A. the intern is over-identifying with the client's pathology.
B. the client's transference toward the intern provides insight into the client's
relationship problems.
C. the intern examine how her countertransference is limiting her therapeutic
objectivity.
D. this experience challenges the intern's adequacy to treat this client. - -C. the intern
examine how her countertransference is limiting her therapeutic objectivity.
-15.
A music therapist is conducting a group of clients playing a I-IV-V chordal
accompaniment on tone bars. The music therapist arranges the clients in three groups,
one for each chord. Which of the following is the MOST important conducting gesture?
A. tempo
B. dynamics
C. meter
D. phrasing - -A. tempo
-16.
An adult with severe, chronic asthma receives individual music therapy in an outpatient
rehabilitation clinic. Treatment goals include increasing breath support and developing
intercostal muscle strength to improve voice quality. When selecting song material,
which of the following is the MOST crucial aspect to consider?
A. client preference
B. phrase length
C. tessitura
D. song duration - -B. phrase length
Page | 4
