Question1. In child psychotherapy consideration of systems that promote achild’s ongoing development include which of the following? 2. Which of the following is a philosophical approach to psychotherapy which deals with universal themes of life? Dysregulation of this area of the brain is associated with memory problems and this person may be unable to integrate memories into the present and personal memory into identity, and thought to underlie symptoms of flashbacks, nightmares, avoidances and dissociation. Which of the following is true about communication with children and adolescents? A Peers . B Family . C School . D Communi . ty A Gestalt Therapy . B Psychoanalysis . C Existential psychotherapy . D Person-Centered . Psychotherapy A Locus . coeruleus B Cerebellum . C Thalamus . D Hypothalamu .s A Communication is developmentally based. . B Offices should be free of toys or distractions. . C Speak to children in adult manner as it lets them know you take them . seriously. D Communicate at level lower than the child or adolescent to improve . their self-esteem. Question 5 A Supporting parent’s mental health . B Reducing exposure to stresses . C Helping parents learn ways to stimulate and have positive interaction s with their . infants and young children. D Guided exposure to stressors to increase resilience. . The Dialectical Behavior Therapy (DBT) therapist meets with the client, negotiates the goals of therapy, and arrives at a commitment to the treatment. Assumptions and principles of the DBT model are explained. This is consistent with which stage of treatment within the DBT model? Question 7 According to the Trauma Resiliency Model which of the following occurs? A Emotions precede and underlie physical sensations of . trauma, B Physical sensations precede and underlie emotions of . trauma. C Physical sensations and emotional sensations occur . simultaneously. D None of the above have anything to do with TRM. . Question 8 There is growing evidence that some behavior problems can be prevented in children. Effective prevention strategies do not include which of the following? A Pretreatme . nt B Stage 1 . C Stage 2 . D Stage 3 . When referring a patient to a 12-step group the advanced practice psychiatric nurse realizes which of the following supports successful patient engagement in 12-step group participation? A Provide an overview of the 12-step approach, explain the concept of powerlessness . and spirituality within the 12-step tradition. B Use MI to contract for attendance at several different groups to find the right “fit” . and encourage attendance. C Encourage patient to not worry about going to the groups because due to high . attrition rates, most groups have many new patients at each session. DA and B only . Which of the following medications may be recommended for patients with insomnia due to PTSD? The Gestalt Therapist working with a patient notices that every time a sensitive issue come up the patient will change the topic and tell a joke. The therapist recognizes this interruption as which of the following? In working with an older adult patient in the termination phase the advanced practice psychiatric nurse suggests it may be helpful to teach family members ways to support the patient and prevent relapse. This demonstrates which of the following? A Any antidepressant can offer as first-line treatment in . adults for PTSD. B Non-benzodiazepines such as trazodone (Desyrel) . C Prazosin (Minipress) may be helpful if nightmares are . present. D B and C . A Introjectio .n B Projection . C Deflection . D Retroflecti . on A A major HIPPA violation . B Lack of confidence in the patient and the therapeutic . process of CBT C An appropriate strategy to solidify a supportive network for . the patient. D Resistance to terminating the therapeutic relationship. . A specific type of CBT therapies aimed to reduce distress as a person experiences sensation with danger is known as which of the following? The loss of control over the intense urge to take a drug even at the expense of adverse consequences is known as which of the following? The primary source for constructive change in a humanistic-existential approach is which of the follow: A Trauma Resiliency Model therapist encourages the patient to describe the “felt sense” of internal or external body sensations associated with resilience, stress, and release. This is known as which of the following Trauma Resiliency Model skills? A Shame-Attacking . B Exposure Therapy . C Cognitive Rehearsal . D Guided relaxation and . meditation A Tolerance . B Withdraw . al C Addiction . D A craving . A The patient’s motivation . B The therapist’s structure . C The therapist-patient . relationship D The patient-family . relationship A Tracking . B Resourcing and resource . intensification C Grounding . D Gesturing . Using a Common elements approach with a child with ADHD who despite stimulant medication continues to exhibit frequent angry outbursts, opposition and aggression the advanced practice psychiatric nurse begin with which of the following? Practice guidelines for complex trauma and dissociative identity disorder caution that which of the following may limit one’s ability to heal. Which of the following is consistent with a Common Elements approach? Which of the following is not an underlying assumption that differentiates child therapies from adult psychotherapy? A Stop the medication as it clearly is not working. . B Adjust medication as it clearly isn’t working. . C Explore inpatient treatment where the environment could be more closely controlled . and monitored. Review the best available evidence for behavioral, cognitive or psychoeducation D intervention to augment the medication and address these behavioral/regulation . issues. A Somatic approaches . B Talk therapies focused on cognitive . understanding C EMDR . D A and C . A Common Elements involves use of individual treatment approaches that are part of . many manualized treatment B Evidenced-based strategy is viewed in light of the actual intervention as well as . diagnostic category. C The Common Elements method is seen as a transdiagnostic approach to treat a . variety of common mental health issues. D Is Common Elements method should not be used with child/adolescents with PTSD. . A Family inclusion . B The concept of Recovery . C The concept of Resiliency . D Developmental . considerations The person-centered therapist who is genuine and authentic during the therapy session is exhibiting which psychological condition? Review of child specific Evidence Based Practices (EBP) demonstrate progress in some treatment areas however there is still much work to be done particularly in use of EBPs guided by diagnostic criteria in children with which of the following disorders? The advanced practice psychiatric nurse notices in working with a patient with a dissociative disorder that the person appears to be doing worse after significant gains are made. The advanced practice psychiatric nurse explains the reason for this is likely which of the following? A Congruence . B Actualizing tendency . C Belief of human nature . D Accurate empathic . understanding A ADHD . B Anxiety . C Bipolar Disorder . D Adolescent . Depression A This indicates the change(s) really did not take . B The patient is unconsciously sabotaging the therapy. . C This indicates process is trying to force a change too fast. . D As positive changes occur they may be followed by a temporary increase in sadness, . anger, or anxiety because even positive change may be experienced as a loss. The use of medications is indicated in combination with psychosocial interventions in several child and adolescent severe emotional disorders (SED) including which of the following? Research suggests that psychodynamic therapeutic approaches are effective for some children, particularly those with which of the following disorders? Evidence-based therapeutic modalities for treating older adults with anxiety include which of the following: The advanced practice psychiatric nurse is working with the patient on maintaining treatment outcomes and developing a guide for surviving difficult times. These strategies are consistent with which phase in the CBT process? A Pediatric bipolar disorder . B Mild ADHD . C Antisocial personality . disorder D All of the above . A Conduct Disorders . B Anxiety and Depression . C Depression and Psychosis . D Attention Deficit-Hyperactivity . Disorders A Cognitive Behavioral Therapy, Relaxation training, . Biofeedback B Dialectical Behavior Therapy, Reminiscence Therapy, . Biofeedback C Guided Imagery, Music Therapy, Yoga . D A and C . A Introductory . phase B Middle phase . C Late middle . phase D Termination . Which of the following is true about Complementary and Alternative Medicine (CAM) Therapies and Older Adults? The advanced practice psychiatric nurse realizes a basic assumption of Dialectical Behavior Therapy (DBT) is that therapists treating the difficult patient need support. This support includes which of the following? During the middle phase of CBT with an older adult the advanced practice psychiatric nurse notices that homework is not getting done and suggest that the homework be done during the therapy session. This indicates which of the following? Research support that children with serious emotional disorders (SED) are likely to have which of the following? A CAM therapies are a good alternative to conventional medicine . B CAM therapies can be used in conjunction with psychotherapy to provide effective, . evidence-based treatments to older adults with psychiatric disorder. C Evidence is unclear whether CAM therapies improve quality of life or wellness in . older adults. D Most middle age and older adults are reluctant to use CAM therapies for . management of mental health concerns. A The support is provided through case management . B The support is designed to focus on clinical issues of the patient . C The DBT therapist in solo practice does not need a consultation group for support. . D The support includes a consultation group to treat the therapist by using the same . skills the patient is asked to use. A The patient is not vested in the therapy. . B Clearly the advanced practice psychiatric nurse needs more training in CBT. . C The advanced practice psychiatric nurse is enabling the patient and thus . undermining the therapy. D The advanced practice psychiatric nurse is suggesting an acceptable modification to . facilitate the therapy process. A Children with SEDs are likely to be severely impaired . B Children with SEDs are likely to have many community agencies involved in their . care and support. C Children with SEDs are likely to have a comorbid disorder. . D A and C . The role of the therapist during Stage 4 of the Dialectical Behavior Therapy procession model includes which of the following? In working with an older female patient, the advanced practice psychiatric nurse notices the patient seems to respond superficially reminding the advanced practice psychiatric nurse of her own mother and finds herself looking forward to their sessions, which recently have been going longer than scheduled. The advanced practice psychiatric nurse recognizes this as The Gestalt therapist notices the patient is fidgeting with fingers, legs are shaking and asks the patient “What are you experiencing right now in your body?” This is a type of creative experimentation known as which of the following? Which of the following is a biologically based psychotherapy methodology used to treat patients who have experienced trauma? A Prepare the patient to safely let go of therapy. . B Maintain calmness without over-reacting to the patient’s . behavior. C Reassure the patient that extinction bursts are reasonable . and normal. D ONLY A and B . A Gerotransference . B Transcendence . C Countertransference . D A sign of a close therapeutic . relationship A Focusing . B Body awareness . C Language of . responsibility D Empty-chair dialogue . A Trauma Resiliency Model . B Cognitive Behavioral . Therapy C Psychodynamic . Psychotherapy D Existential Psychotherapy . Functional status refers to Which of the following is not consistent with the Principles of Effective Treatment for Addiction according to the NIH? The purpose of Mindfulness-Based Stress Reduction in the older adult is Critical goals in addiction treatment include improving impulse control, reducing craving, and promoting and adaptive social environment. Evidenced based skills that can best impact these goals include: A A person’s capacity to manage activities of daily living . independently B A person’s positive perspective on their own capabilities . C A person’s expected increase in dependency as one ages . D A person’s expected decrease in independence as one . ages A Treatment needs to be readily accessible. . B Psychotropic medication should be stopped prior to treatment. . C Treatment does not need to be voluntary to be effective. . D Drug use during treatment must be monitored continuously as lapses may occur . during treatment. A To avoid using psychotropic medications . B To escape from stressful situations and . relationships C To learn to be present in the moment non- . judgmentally. D To avoid stigma of traditional psychotherapy . A Life Review Therapy . B Contingency . Management C Motivational . Interviewing D Interpersonal . Psychotherapy E B and C . In working with a patient with borderline personality disorder, the Dialectical Behavior Therapy (DBT) therapist emphasizes suicidal and self-harming behaviors are problems to be solved and are the highest priority for treatment. Which of the following would be inconsistent with DBT therapy? In following the rules for the Dialectical Behavior Therapy (DBT) therapist, the therapist would not do which of the following? Which of the following screening tools is geared toward screening pregnant women for alcohol and drug abuse A The patient must agree to reduce self-harming behaviors as a goal for therapy. . B The patient must agree to work with the therapist before acting on self-harming . urges. If the patient engages in the self-harming behavior and is admitted to the hospital C the therapist can continue to support the patient through scheduled telephone or in- . person sessions. If the patient engages in the self-harming behavior and is admitted to the hospital D the therapist suspends direct consultation with the patient until 24 hours after the . patient is discharged from the hospital. A Recognize the therapist is human and fallible. . B Make every reasonable effort to provide competent treatment for the patient. . C Share the rules for the DBT therapist with the patient during orientation to the . therapy. D The therapist agrees to use consultation and allow the patient to view this . directly if desired. A CAGE- . AID B CRAFFT . C TWEAK . D UNCOPE . The advanced practice psychiatric nurse proficient in Interpersonal Psychotherapy (IPT) is working with an older adult who does not realize she has depression. Which of the following is true? Which of the following is not consistent with the use of mindfulness in patients requiring stabilization following trauma? Challenges assessing psychiatric symptoms in the elderly include which of the follow In using trauma-focused cognitive behavioral therapy with a child exposed to domestic violence the advanced practice psychiatric nurse realizes the first component of this structured approach includes which of the following? A IPT is not an appropriate model for treating depression in older adults. . B This is a common IPT issue with older adults during the initial sessions. . C The advanced practice psychiatric nurse should consider using a standardized scale . to quantify the depression and use this to educate the patient and the family. D B and C . A Mindfulness underlies all stabilization. . B Mindfulness is described as having internal and external awareness in abundance. . C Mindfulness allows patient to become fully aware of their experiences and enables . them to react to their experiences. D Mindfulness allows patient to become fully aware of their experiences and enables . them to respond to their experiences. A Denial of symptoms. . B Age-related variations in symptom presentation. . C Making of symptoms by comorbid disorder and . medications. D Difficulty in obtaining an accurate mental health . history. A Relaxation skills . B Problem solving skills . C Constructing the trauma narrative . D Psychoeducation with child and parent about trauma response and . what causes it According to a Gestalt framework, to uncritically accept others’ beliefs and standards without discriminating and assimilating what belongs to self or not, is a dysfunctional process known as which of the following: Which of the following is not consistent with what is known about relapse? An advanced practice psychiatric nurse who has been leading groups for patients with comorbid PTSD and Substance abuse starts experiencing disturbing dreams, anxiety, irritability , withdrawal and problems in interpersonal relationships. These symptoms are consistent with the phenomenon of: A Confluenc .e B Projection . C Introjectio .n D Retroflecti . on A Relapse indicates treatment failure. . B Relapse is a persistent risk in addiction. . C Relapse is a characteristic of all chronic medical diseases. . D Relapse is the return to substance use or addictive behaviors after periods . of abstinence. A Transference . B Countertransference . C Secondary . traumatization D Burnout . Which of the following statements is consistent with a humanistic-existential approach when the patient starts talking about past event? Memories of the drug related event may be modified through various therapies including which of the following Which of the following is not consistent with humanistic-experiential techniques? In working with an older adult female patient, the advanced practice psychiatric nurse notices that the patient starts bringing her baked goods, and says “You remind me so much of my daughter, you are so easy to talk to.” The advanced practice psychiatric nurse recognizes this as A Tell me about your childhood. . B Tell me what happened last week. . C Let’s just focus on the here and now. . D Tell me the story as if it were . happening now. A CBT . B EMDR . C Pharmacological . interventions D All of the above . A May include working with dreams or the empty chair. . B Use of creative arts such as drawing, music and movement. . C Humanistic-existential therapists interpret for the patient and provide guiding . advice. D Humanistic-existential therapists use techniques that are reflective and . experimental in style. A Gerotranscenden . ce B Transference . C Countertransfere . nce D Time for . termination Which of the following trends life trends suggests advanced practice psychiatric nurse be prepared to provide mental health and illness treatment in a variety of community and non- traditional settings. The advanced practice psychiatric nurse using Dialectical Behavior Therapy with a patient with borderline personality disorder uses persuasive dialogue to do which of the following? Evidence supports which of the following statements about women and addictions treatment? Which of the following is not consistent with Eye Movement Desensitization and Reprocessing (EMDR) literature in treating PTSD? A More older men than women living alone. . B Greatest percentage of older adults living in nursing homes. . C Projected doubling of number of homeless adults between 2010 and . 2050. D More older adults preferring to leave their homes to seek other living . arrangements. A Invite the patient to new ways of viewing a situation . B Guiding patient to develop more skills to achieve a greater . quality of life. C Engage the patient in change talk . D A and B . A Women seeking treatment for substance use disorder are more likely than men to . have experienced traumatic events. B Women are more apt to drop out of treatment than men. . C Women are less likely than men to seek mental health services. . D Women are less likely than men to participate in group therapy. . A Treatment effects are long lasting. . B EMDR involves extended exposure . C EMDR treatment for trauma is less time intensive. . D The aim is to reduce the subject distress and strengthen adaptive beliefs related to . the traumatic event. The advanced practice psychiatric nurse encourages the older adult to recall long forgotten experiences, events which are memorable to the person. This is known as Dysfunctional processes, developed early in life that people employ in an attempt to meet their Needs, are referred to by the Gestalt therapist as which of the following? The therapeutic frame supports the clinician in which of the following ways? Select all that apply. The advanced practice psychiatric nurse is working with a patient with who is chronically suicidal. The advanced practice psychiatric nurse using a Dialectical Behavior Therapy (DBT) approach realizes which of the following? A Life Review Therapy (LRT) . B Reminiscence Therapy (RT) . C A Mindfulness Strategy . D Interpersonal Psychotherapy . (IPT) A Interruptions . B Figure and ground . C Layers of personality . D Organismic self- . regulation A Maintaining a therapeutic stance of neutrality. . B Maintaining a therapeutic stance of . anonymity. C Maintaining a therapeutic stance of non- . intrusiveness. D A and C . A Every time the patient has suicidal ideations hospitalization is recommended. . B To the chronically suicidal patient, hospitalization reinforces the status quo and . abdicating the hard work of change. C To the chronically suicidal patient hospitalization frequent hospitalizations allow a . safe place to learn new coping behaviors and promote change. D The Advanced practice psychiatric nurse should not be using DBT with a chronically . suicidal patient. The concept of resiliency in child therapies is in direct contrast to which traditional approach for treating children? Stigma of mental illness in the elderly: Which of the following is not consistent with the Psychoanalyst’s perspective when treating and individual with a personality disorder? Which of the following statements would not be consistent with the humanistic-existential concept of “holism” ? A People are unique. A Family inclusion . B The concept of recovery . C Problem-based therapy . D Interacting systems . consideration A Has contributed to psychiatric symptoms being expressed with . physical symptoms. B Is much more severe in baby boomers than in other elderly cohorts. . C Is much less an issue in baby boomers than in other elderly cohorts . D Leads to more discussion of emotions in primary care settings. . A It is important to identify and then modify “core” problems when treating individuals . with personality disorders. B Personality structures are unconscious and thus mostly unavailable to the individual. . C Personality products and processes are within the realm of awareness, accessible to . the individual. D Psychoanalytic therapy is an effective treatment for Borderline personality disorder . . B The whole is greater than the sum of its parts. . C Mind, body, spirit work in a unified synergistic . fashion. D Dysfunctions such as a chemical imbalance must be . identified. Which of the following is true about dreamwork from a Gestalt perspective? When the advanced practice psychiatric nurse builds a formulation when working with a child in therapy the advanced practice psychiatric nurse is doing which of the following? In providing psychoeducation to patient’s in recovery, the advanced practice psychiatric nurse would not include which of the following? Which best describes gerotranscendence? A Erik Erikson’s ninth stage of development A The individual tells the dream in past tense . B Elements of the dream are viewed using standardized dream symbol . meaning. C A dream diary is required to capture all elements of the team. . D The characters and objects in the dream are projections of the individual . whose dream it is. A Formulation is a type of play therapy. . B Formulation is the child’s diagnosis. . The formulation explains the contexts of the child and family situation, the child’s C unique presentation, responses and narratives of the events that shaped the . interpretation. D The formulation is the treatment plan. . A Recovery is a lifelong process of change . B A patient is considered recovered after 5 years free of substance use. . C Recovery encompasses dimensions of health, home, purpose and community. . D Recovery applies to recovery from mental disorder, substance use disorders and . behavioral addictions. . B Emphasizes ongoing growth over decrements . C Focuses on the transition to old-old (80 years and . older). D Focuses on letting go and coming to terms with end . of one’s life The advanced practice psychiatric nurse is working with a group of patients in an outpatient substance abuse treatment program. One patient comes to the advanced practice psychiatric nurse after the group session and asks if the advanced practice psychiatric nurse would meet at a nearby Starbucks to clarify a couple of questions that came up at the end of the session and fears relapse. Which of the following would be consistent with the traditional therapeutic frame? The situation in which increasing amounts of a substance is needed to achieve the same desired effect is known as which of the following? Which of the following describes the basic neurobiological pathways of the reward system in the brain? A Given concerns about relapse it would be important to meet with the patient just this . one time and just for 10 minutes but meet in your office. B Remind the patient that one of the rules is not having contact outside of therapy . sessions. C Agree to meet with patient alone in the group room to resolve any outstanding . concerns from the group. D Agree to meet with the patient at Starbucks briefly to discuss the unresolved issues, . but only this once and only for 10 minutes. A Addiction . B Tolerance . C Withdraw . al D Dependen . ce Projections from the ventral tegmental area, through the median forebrain and A terminate in the nucleus accumbens where there is a proliferation of dopamine . neurons. B Projections through the median forebrain, to the ventral tegmental area where there . is a proliferation of dopamine neurons, to the nucleus accumbens. C Projections from the nucleus accumbens to the median forebrains where there is a . proliferation of dopamine neurons to the ventral tegmental area. D Projections from the median forebrain through the ventral tegmental area to the . nucleus accumbens where there is a proliferation of dopamine neurons. Evidence supports use of Dialectical Behavior Therapy patients with which of the following diagnoses? The existential concept of an openness, readiness, and flexibility to grow and change, which necessitates a capacity to choose alternatives, and shape one’s own destiny as authors of creating their own world is which of the following? Using a psychodynamic psychotherapy stage oriented model for the treatment of trauma, the advanced practice psychiatric nurse would do which of the following in Stage 1? The advanced practice psychiatric nurse is working with a patient who states she believes her boss hates her. After some discussion, it is clear the patient has strong negative feelings towards her boss. The advanced practice psychiatric nurse working within a Gestalt framework, recognizes this as an interruption consistent with which of the following? A Projection A Schizophrenia . B New onset depression . C Bipolar Affective Disorder . D Borderline Personality . Disorder A Freedom . B Responsibili . ty C Authenticity . D Meaning . A Address safety issues . B Promote symptoms . stabilization C Process painful memories . D A and C . . B Retroflecti . on C Confluenc .e D Deflection . The patient in Dialectical Behavior Therapy (DBT) expresses frustration that the skills taught don’t work, the process is taking too long, and is struggling to complete homework. The advanced practice psychiatric nurse using a DBT model would do which of the following? An organized, consistent set of perceptions about the self, continually influenced by experience and its interpretation which includes self-worth, self-image and ideal self, is which key concept of person-centered therapy? The advanced practice psychiatric nurse using a Dialectical Behavior Therapy approach with a patient with Borderline Personality Disorder explains the four essential elements which includes all but which of the following? A Validate the patient ‘s frustration while encouraging and reinforcing use . of skills. B Analyze the behaviors and consequences of the behaviors with the . patient. C Focus on behavioral control and management with emotions as a . contextual element. D All of the above . A Belief of human . nature B Self-concept . C Actualizing . tendency D Fully functioning . person A Bi-weekly individual therapy sessions for the patient of about 1 hour each. . B Weekly group skills training sessions for the patient of 2.5 hours each. . C Skills coaching via telephone or other electronic means as needed by the patient to . manage I vivo situations D Team consultation to the therapist to maintain treatment fidelity and adherenc . The advanced practice psychiatric nurse working with a patient with a borderline character structure realizes the psychodynamic treatment of choice for those with borderline character structure is which of the following? The advanced practice psychiatric nurse working with a patient with borderline personality disorder is aware that which of the following attachment styles has been highly correlated with Borderline personality disorder? The advanced practice psychiatric nurse using supportive psychotherapy with a patient with a preoccupied attachment style would use which of the following interventions? The patient in Dialectical Behavior Therapy (DBT) is focusing of self-efficacy, interdependence and self-dependence. At times, the patient seems bored with therapy, and reports dealing quickly and effectively with self-harming urges that have resurfaced. The advanced practice psychiatric nurse using the DBT model would do which of the following? A Expressive psychotherapy . B Supportive psychotherapy . C Psychoanalytic . psychotherapy D A combination of all of the . above. A Secure attachment style . B Unresolved attachment . style C Preoccupied attachment . style D Disorganized attachment . style A Active interventions to facilitate emotional expression and . connection. B Supportive interventions to help the patient contain overwhelming . emotions. C Any interventions on the psychodynamic continuum with not . customizations. D None of the above. Attachment style has no bearing on . psychodynamic therapy. A Do nothing different. . B Increase the frequency and intensity of contact. . C Decrease the frequency and intensity of contact. . D Express concern to the patient about premature distancing . and regression Which of the following is not consistent with the Cognitive Behavioral therapist perspective when treating and individual with a personality disorder? Strategies for terminating a therapy relationship with an older adult includes: The most effective treatment for SUD with or without co-morbid psychiatric disorders is: A It is important to identify and then modify “core “problems when treating individuals . with personality disorders. B Personality structures are unconscious and mostly unavailable to the individual. . C Personality products and processes are within the realm of awareness, mostly . accessible to the individual. D Dysfunctional behaviors, thoughts and feelings are largely due to the function of . schemas. A The advanced practice psychiatric nurse needs to develop a checklist to determine . goals have been made and it is time to terminate. The advanced practice psychiatric nurse determines therapy goals attained, B terminate the therapeutic relationship, and schedule to meet the patient for coffee to . ease the transition out of therapy. C The advanced practice psychiatric nurse should set clear therapy goals, commend . patient on goal attainment and terminate the therapy. D Termination should occur by mutual decision between advanced practice psychiatric . nurse and patient based on the therapy goals attained. A Multidimensional addressing medical, psychosocial and mental . health issues B Trauma-informed care. . C 12-Step Peer Support Groups . D Cognitive Behavioral Therapy .
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