Clinical Modalities Exam 2
Comprehensive Review 2025:
Psychiatric Assessment &
Intervention Mastery (Fall
2025 Curriculum Update:
DSM-5-TR Diagnostic
Frameworks, CBT/DBT
Protocols & Risk Assessment
Tools + 98% Pass Rate
Blueprint for PMHNP Board
Readiness)
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TEST TWO- 526 STUDY GUIDE
Group Therapy – 21
(Highlight) The primary purpose of group therapy is to facilitate
changes by the patient to address identified problems.
Examples: A technique for dealing with an over talkative client and
silence from other participants in a group during therapy is to make an
observation about the group’s silence and invite the others to
comment. During group members sharing methods they personally
use for dealing with problems are using the technique of “Information
Giver”.
Cognitive/Cognitive Behavioral/DBT – 16
(Highlights) Cognitive Behavioral Therapy consists of active
questioning, homework assignments, and dream survey. The therapist
helps the patient consider personal ideas and beliefs in order to
increase the patient's realization about how thoughts influence
behaviors.
Attachment – 2
(Highlights) Attempts to explain the dynamics of interpersonal
relationships between humans. A child needs to form a relationship
between at least one primary caregiver.
Milieu – 2
(Highlight) Milieu therapy requires consideration of the client’s social,
economic, and cultural status.
Complementary Alternative Medicine – 9
(Highlight) The major difference between Western medicine and
complementary and alternative therapies (CAM) is Western medicine
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focuses on what is done to the patient whereas CAM focuses on mind-
body interactions.
Know the following Theorists and basic assumptions:
• Beck:
a. Beck assumption: Distorted thinking contributes to and
maintains behavior
(symptoms)
b. Beck developed the cognitive model of depression and
the concept that cognitive processing distortions
underlie psychological disorders ACTIVE,
TIME-LIMITED APPROACH
c. depression can be understood via schemas: Beck;
cognitive errors, and the cognitive triad
i. negative views of self
ii. tendency toward interpreting experiences in a
negative manner
iii. holding negative views of the future
• Ellis:
a. Rational emotive therapy (RET), a form of CBT
developed by Albert Ellis, is a psychotherapeutic
approach which proposes that unrealistic and irrational
beliefs cause many emotional problems. The purpose
of RET is to identify an irrational belief and dispute it
through active, philosophical, confrontational therapy.
b. unrealistic and irrational beliefs cause many emotional
problems
c. ASSUMPTION:
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i. People make themselves sick anytime they
escalate a desire or preference into a demand or
absolute must. (People become who they become
based on their beliefs).
• RET uses role playing, assertion training, desensitization,
humor, operant conditioning, suggestion, support, etc.
• STEPS:
• Identify the irrational belief
• Dispute the irrational belief
• Work with illogical thinking patterns and tendencies that
distort reality
• Teach social problem-solving skills Teach appropriate
rational self-statements In-vivo behavioral rehearsal and
practice.
• Krieger: see therapeutic touch
• Piaget-
a. Stages of cognitive development-human thinking processes
change
i. Sensoir-motor (0-2): differentiates self from
objects. Achieves object permanence (realizes
that things continue to exist even when no longer
present to thee sense). ii. Pre-operational (2-7y):
Learns to use language to represent objects by