| Course | NU672 PMHNP Psychotherapy for Individuals, Groups, and Families Clinical |
|---|---|
| Unit | Unit 10 |
| Paper type | Termination summary |
| Length | About 710 words, 5 pages double-spaced |
| Format | APA 7 student paper |
| School | Purdue University Global |
| Program | MSN |
| Updated | September 2026 |
Free sample paper for NU672 Unit 10
Ending on the Calendar, Not the Client's Timetable: A Termination Summary After Twelve Sessions of Prolonged Exposure for a 47-Year-Old Bus Driver
[Student Name]
Purdue University Global
NU672: PMHNP Psychotherapy for Individuals, Groups, and Families Clinical
Unit 10 Termination Summary
[Instructor Name]
[Date]
The client is composite; scores, dates and details are bracketed.
Identifying Information and Referral
Mr. [S.] is a [47]-year-old city bus driver who was punched and threatened with a knife by a passenger on the [Route 12] night service [eight] months before referral. He was referred by the transit authority's employee assistance program after four months of sick leave. He met criteria for posttraumatic stress disorder, with intrusive memories, nightmares, avoidance of buses and of the downtown area, hypervigilance and irritability.
Treatment Provided
Twelve weekly sessions of prolonged exposure were delivered between [February] and [May], with the practicum ending in [May]. Treatment included psychoeducation, breathing retraining, in vivo exposure to avoided situations, and imaginal exposure to the memory of the assault, followed by processing. Sessions were recorded and reviewed in supervision.
Prolonged exposure is a well-supported treatment for posttraumatic stress disorder. A meta-analysis of [13] studies with [675] participants reported that exposure therapy clearly outperformed control conditions, performed about as well as other active treatments, with gains maintained at follow-up (Powers et al., 2010).
Outcome
Symptoms were measured with the PTSD Checklist for DSM-5, a [20]-item self-report measure with strong reliability and validity (Blevins et al., 2015).
1. Session 1: [58].
2. Session 6: [44].
3. Session 10: [31].
4. Session 12: [29].
His score fell by [29] points, a large and clinically meaningful reduction. Nightmares decreased from about [five] nights a week to one. He returned to work in week [nine], driving daytime routes.
What Has Not Changed
He still avoids the [Route 12] night service and the stop where the assault happened. He has declined night shifts, telling his supervisor he prefers days. In session eleven he rated the idea of driving that route at [85] out of [100] on the distress scale. He is much better, and he is not done; both statements belong in this summary, and neither cancels the other.
The Missed Session
He did not attend session eleven, scheduled as an in vivo exposure to riding the [Route 12] bus at dusk as a passenger. He sent a text an hour before saying he had "a family thing." At session twelve he acknowledged that he had been dreading it. We discussed this openly: the missed session was itself avoidance of the most feared item on his hierarchy, and it is a sign of what remains to be done, not a failure. Dropping out or missing sessions near the most difficult exposures is common; a meta-analysis found that about one in five clients ends psychotherapy prematurely, with higher rates among clients seen by trainee clinicians (Swift & Greenberg, 2012). He chose to return for the final session, which I noted to him as meaningful.
Ending on the Calendar
The ending was set by the practicum's end date, not by his readiness. This was discussed from session one and again at sessions eight and ten. He said in session twelve that he felt "a little dumped," then said he understood. We named the feeling and discussed that ending treatment with a clinician is different from ending treatment altogether.
Recommendations and Transfer
1. Continue prolonged exposure with a clinic therapist, beginning within [three] weeks; a transfer meeting with the new therapist is scheduled for [May 28], with his consent, and I have shared his hierarchy and exposure records.
2. The next exposures should target the [Route 12] night service, beginning with riding as a passenger in daylight and progressing to driving at night.
3. Repeat the PTSD Checklist at the first session with the new therapist, to check that gains have held.
4. Discuss with the employee assistance program a graded return to night routes, if he chooses, in step with therapy.
Relapse Prevention
Mr. [S.] and I wrote a one-page plan: early signs of relapse (nightmares more than twice a week, new avoidance), what he will do (continue in vivo practice, contact the clinic), and whom to call. He keeps a copy in his work bag.
References
Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-498. https://doi.org/10.1002/jts.22059
Powers, M. B., Halpern, J. M., Ferenschak, M. P., Gillihan, S. J., & Foa, E. B. (2010). A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clinical Psychology Review, 30(6), 635-641. https://doi.org/10.1016/j.cpr.2010.04.007
Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80(4), 547-559. https://doi.org/10.1037/a0028226
Reading the NU 672 Unit 10 instructions
For Unit 10 you write the termination summary for a client whose treatment with you is ending. Prompts usually ask for identifying information and the reason for referral, the treatment provided, outcomes with measures, issues that remain, how the ending was handled, and recommendations for continuing care. Two to three pages in clinical note form is typical. Graders reward summaries that report progress and remaining problems with equal honesty, since the next clinician needs both. When the ending is set by the practicum rather than the client's readiness, the summary should say so plainly and describe how it was discussed. Specific transfer arrangements matter more than general encouragement.
How this NU672 Unit 10 example is built
The summary opens with the assault, the referral and the diagnosis. The treatment section describes the components of prolonged exposure delivered over twelve weeks, with the Powers meta-analysis. The outcome section lists four PCL-5 scores and describes the fall in nightmares and the return to work, citing the measure's validation study. A section on what has not changed records the night route avoidance, with a highlighted sentence on holding both truths. The missed session is analyzed as avoidance of the top hierarchy item, with the Swift and Greenberg dropout findings. A section on the calendar ending records his reaction. Four recommendations and a relapse plan close the summary.
Reading the NU672 Unit 10 grading rubric
Termination summaries are usually graded on completeness, accuracy of outcomes, honesty about remaining issues, handling of the ending and continuity of care. Completeness earns full points when referral, treatment, outcomes and plans all appear. Outcome accuracy rewards scores reported with a validated measure at several points. Honesty is judged on whether remaining symptoms, missed sessions and the forced ending are recorded plainly. The ending row looks for evidence that it was discussed with the client in advance and what he said about it. Continuity points go to specific transfer arrangements, shared records with consent and next targets for treatment, so the new clinician can start without repeating work. Clear, respectful language completes the marks.
Common NU672 Unit 10 mistakes, and how to avoid them
The most common problem is a summary that reports only improvement, leaving the next clinician to discover the remaining avoidance. Another is treating a missed session as a scheduling issue rather than clinical information. Students often mention the practicum ending in passing, when it deserves its own place. Some summaries recommend "continued therapy" without naming what the therapy should target next. Others report a single score rather than the trend. And omitting a relapse plan leaves the client without a clear step to take if symptoms return between therapists, which is exactly when a gap in care is most likely. Share the draft plan with the client before the final session.
Get an NU672 Unit 10 example written to your instructions
How does your NU672 Unit 10 prompt frame the ending: planned, forced by the term, or a transfer? Share that, the headings your site uses and the rubric. We write the summary around a composite client, since your own client's record and your supervisor's co-signature stay with you; the first one is free and back in 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
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NU672 Unit 10 questions, answered
How should a termination summary handle an ending forced by the practicum?
State it directly and early. Clients in training clinics often end treatment because the student's term ends, and supervisors expect the summary to say when the client was told and how the ending was prepared. Describe the client's response, including anything like a missed session, and the transfer arrangements, so the receiving clinician understands the ending as part of the treatment.
What belongs under open issues?
Anything the next clinician would otherwise have to discover: symptoms that improved only partly, avoidance that remains, beliefs still held at some strength, stressors on the horizon. Be as specific as you were about gains. A summary with detailed gains and a vague open-issues section suggests the treatment is being presented rather than handed over.
Can a sample include my actual client's scores?
No. Real scores, records and the co-signed summary belong to you, your client and your supervisor. A sample uses bracketed values on a composite client, showing where each figure goes and how it is interpreted. Nothing from it belongs in a clinical record; it demonstrates the document's structure, and your summary is written from your own work.
Where can I find a free NU672 Unit 10 sample paper?
This page shows the full NU672 Unit 10 termination summary, from referral and treatment through outcomes, remaining avoidance, the missed session and the calendar ending to recommendations and a relapse plan, plus three references. A summary for your own case can be requested.
What outcomes does the NU672 Unit 10 summary report?
His PCL-5 score fell from 58 at session one to 29 at session twelve, nightmares dropped from about five nights a week to one, and he returned to daytime driving in week nine. He still avoids the night route where the assault occurred.