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A MT is working with a patient 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 simple non-verbal cues and gestures. People with a left-brain stroke do much better overall comprehending nonverbal cues and gestures. Right hemisphere strokes tend to do better with short, simple verbal cues.
A child with Autism Spectrum Disorder (ASD) starts pacing during a music therapy session. Which of the following is the music therapist's MOST effective response to redirect the child? Sing a melodic phrase "sit down." Studies with this population have shown they can better process sung direction rather than verbal directions.
reflective implies that a music therapist is able to restate and clarify the content of the session in order to further therapeutic progress.
clinical being clinical involves multiple aspects of the therapy process, not specifically the characteristics of the therapist.
authentic means being open and experiencing the session in the moment with the client. This enhances the therapeutic relationship by allowing the client to feel that they can trust the therapist to be present, genuine, or congruent.
accessible Being accessible involves being available to the client directly and indirectly. This does not necessarily address feelings of authenticity.
A MT in private practice has worked with an adult outpatient client for a year & goals have been met. Ongoing assessment indicates no new goals & client has been functioning well for some time now. As MT prepares the client for termination, consider what Treatment summary of the client's progress in music therapy, date for the last session, and recognition of feelings regarding termination are all required for termination.
A group home for young male offenders. During a session, clients pick a song recording to communicate something about themselves. The therapist and group members verbally reflect thoughts & feelings shared in relationship to the song. This example is most closely aligned with a humanistic approach because the client makes choices & express feelings and thoughts, & the therapist is providing feedback & support in an open & accepting manner while encouraging others to do the same.
Current Procedural Terminology® (CPT) To receive third party reimbursement for music therapy services, a music therapist is required to include a code for the specific procedures used in music therapy treatment. CPT provides numeric codes for the services that are provided.
Prospective Payment System (PPS) PPS is the mechanism by which hospitals are reimbursed by Medicare.
Minimum Data Set (MDS) MDS is used by facilities for Medicare reimbursement.
Physicians' Desk Reference® (PDR) PDR provides information about prescription drugs and does not have anything to do with procedural codes.
A military veteran undergoing treatment for PTSD enrolled in beginning guitar lessons with volunteer instructor at (VA) hospital. The veteran tells MT in group session that he enjoys lessons & is using guitar to relieve stress. What's the MT BEST action? Recommend that the veteran further explore how to use music indep for self-care in individual MT. The MT can facilitate guitar playing as a self-care tool, whereby the veteran can use guitar & other music techniques as treatment and a leisure skill.
A patient with late-stage dementia has aphasia, difficulty following directions, & significant memory loss. To develop a treatment plan that reflects the patient's needs and interests, which of the following should be the music therapist's FIRST action? Consult with the patient's caregiver to determine music preferences. The patient's caregivers are the best source of this information in the absence of the patient's ability to provide it.
Which of the following must be submitted to third-party payers when seeking reimbursement for music therapy services? Diagnostic codes provide classification of disease by diagnosis & are required by 3rd-party payers to reimburse. MT credentials are required to prove certification before practitioners are included in insurance networks. Billing forms bill for services.
fading is the gradual removal of explicit prompts or cues in an attempt to maintain the behavior on its own. or when stimulus is gradually and systematically removed.
chaining the ability to learn a complex task by connecting simple tasks in a sequence instead of exposure to complex task all at once. It is also the the procedure of two or more processes being joined together systematically, one at a time.
sequencing understanding how a series of objects, events, and time occur in a specific and logical order. This illustrates sequencing the session in the order of first, middle, and last.
shaping technique for developing new behaviors by reinforcing successive approximations of the desired behavior.
psychodynamic based on the idea that a person’s past influences their present behaviors and that the unconscious also strongly influences behavior.
neurologic puts a strong emphasis on the findings of neuroscience research and how musical responses can affect nonmusical responses.
holistic emphasizes wellness in multiple aspects of a client’s life with the assumption that there is a connection between the various domains of wellness.
behavioral assumes that changes in a person’s behavior will affect changes in other areas of their functioning. While similar, a neurologic approach emphasizes the connection to brain stimulation.
A MT works with adult with schizoaffective disorder, restricted emotional expression & involves the client in a song discussion focus on affective qualities of song. During music, T notices client talking to herself, rocking back & forth & laughing refocus the client by directing her to sing along with the therapist. Directing the client to sing along refocuses the client on the present time and place and facilitates the expression of emotion.
A group of 25 to 36-month-old toddlers gather for weekly music & movement group. To learn an entire dance routine, the MT sets a storybook to music. Dance movements are introduced one at a time, and assigned to each page as the story is sung/read. Chaining, process of two or more responses joined together systematically one at a time to teach desired outcome. Storybook contains visual & musical cues to go with with specific movement. Not to much info & links movements to each other = dance routine.
modeling demonstrating behavior instead of verbal directions
group contingencies Group contingencies are a strong means of managing client behavior by using peer pressure to lead the group towards a common good, usually seen in young adult/adult groups.
A private practice MT is doing an assessment & treatment plan for a 7 boy with ASD in special education program. He has ST & OT for several years & is interested in M. Mother is concerned that son is withdrawn & doesn't speak many words. The MT should get a signed release from his parent to speak to his teacher and therapists at school. A music therapist should always have a signed consent to share or obtain information regarding a client.
A MT is asked to take over treatment of a colleague’s client, 4 girl with a devel delay. Reports say child was initially uncomfortable leaving classroom to go to treatment room with an unfamiliar person & cried/resisted. To have successful transition the MT should schedule the first session in the client’s classroom to facilitate an easier adjustment to the new music therapist. Its a familiar place. using successive approximations to help client adjust
MT is working in a hospital with an older adult patient who has Generalized Anxiety Disorder & a low tolerance for pain. The patient will be undergoing a painful medical procedure and wants her kids with her. She appears anxious is afraid of pain. MT use familiar music to engage the patient and decrease her fears so her pain perception will be diminished. Familiar music decreases fear and anxiety, which will decrease pain perception.
Exploring the ways in which clients passively accept their circumstances and surrender control in order to make choices and start to consciously take charge of their own lives, is employing principles from which of the following psychotherapeutic models? Existential therapy. It focuses on recognizing passive acceptance and taking conscious control of one's own life.
psychoanalytic therapy adopts a deterministic view and unconscious factors that motivate behavior.
cognitive behavioral therapy focuses on how thinking affects behavior.
Reality therapy focuses on helping a client to have a satisfying or positive relationship with another person.
As a MT sings a hello song to a hospitalized infant, the infant orients to the music therapist's voice, makes eye contact with the music therapist, reaches for the music therapist's hand, and smiles and kicks legs upon hearing the infant's name being sung non-verbal expression
Asking a client to play back five notes that were just played on a piano addresses Working memory. Asking a client to play back five notes that were just played on a piano addresses.
episodic memory & semantic memory. Memory of autobiographical event vs. refers to general world knowledge that has been accumulated.
A music therapy experience that requires a client to recall information and events is addressing which of the following types of memory? Explicit memory. It's the conscious recall such as for semantic or episodic memory.
sensory the immediate impression from sensory information after stimuli are presented.
procedural unconscious memory for skills and tasks.
Created by: eew888