Certification Board for Music Therapists (CBMT) Practice Exam

How should a music therapist respond to a lethargic hospice patient who isn't engaging?

1. Discontinue the session and consult staff

2. Continue prompting the patient for the visit

3. Remain with the patient without music

4. Adapt the music to meet the patient's current needs

The correct answer is: Adapt the music to meet the patient's current needs

The best approach in this situation involves adapting the music to meet the patient's current needs. When working with a lethargic hospice patient, it's important to recognize and respond to their emotional and physical state. Engaging someone who may be feeling low energy or unresponsive requires sensitivity and flexibility. In this context, using music that is gentle, calming, or familiar can create an inviting atmosphere without overwhelming the patient. This adaptation can also invite engagement on their terms, allowing them to connect with the music and the therapist at their own comfort level. By tailoring the musical experience to fit what the patient may respond to best at that moment, the therapist can foster a sense of presence and connection, even if active participation is limited. Moreover, remaining flexible and responsive to the patient's cues is fundamental in hospice care, where individualized attention can significantly enhance a patient's emotional and psychological comfort. This approach also honors the therapeutic intent of music therapy, which is to facilitate connection and expression, even in the face of lethargy. The choice to adapt the musical offerings acknowledges the patient’s needs and upholds the essential principles of person-centered care within the therapeutic process.