Updated: Aug 08, 2026
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| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
| Exam Name: | Adult Psychiatric-Mental Health Nurse Practitioner Certification Examination (PMHNP-BC) |
| Exam Number: | PMHNP-BC |
| Real Exam Qty: | Approximately 175 scored + 25 unscored pretest items |
| Related Certifications: | Family Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) Psychiatric-Mental Health Nurse Practitioner (across lifespan) |
| Exam Duration: | 240 minutes |
| Passing Score: | Scaled score of 350 (on a 200–800 scale) |
| Available Languages: | English |
| Exam Price: | USD 395 (ANCC members) / USD 495 (non-members) |
| Exam Format: | Multiple-choice questions, Computer-based exam, Multiple-select questions |
| Certificate Validity Period: | 5 years |
| Recommended Training: | AANP Psychiatric-Mental Health NP Resources ANCC PMHNP Certification Review Resources |
| Exam Registration: | ANCC Certification Application Portal Prometric Test Scheduling |
| Sample Questions: | College Admission PMHNP Sample Questions |
| Exam Way: | Computer-based testing at authorized testing centers or remote proctored exam (availability may vary by region and testing cycle) |
| Pre Condition: | Active RN license in the United States, completion of a graduate-level (MSN or DNP) nurse practitioner program in psychiatric-mental health nursing with adult population focus |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/ |
| Section | Objectives |
|---|---|
| Topic 1: Psychotherapeutic Modalities | - Crisis Intervention - Individual Psychotherapy - Group and Family Therapy |
| Topic 2: Advanced Practice Skills | - Advanced Psychiatric Assessment - Treatment Planning - Diagnosis and Differential Diagnosis |
| Topic 3: Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Ethical Decision-Making - Patient Safety and Quality Improvement |
| Topic 4: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders - Psychotic Disorders - Mood Disorders |
| Topic 5: Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
1. Who created the family systems therapy model?
A) Salvador Minuchin
B) Virginia Satir
C) Murray Bowen
D) Jay Haley
2. Which part of the brain controls involuntary functions?
A) Hypothalamus
B) Basal ganglia
C) Brainstem
D) Corpus striatum
3. Which of the following psychiatric medications is an inducer of the hepatic cytochrome P450 enzyme?
A) Bupropion
B) Carbamazepine
C) Duloxetine
D) Nefazodone
4. What types of boundaries maintain an individual's separateness while emphasizing belonging?
A) Clearly defined boundaries
B) Rigid
C) Inflexible boundaries
D) Diffuse boundaries
5. A 49-year-old female arrives in the emergency room. She has a long history of IV drug use. Over the past year, the patient's personality has changed, and she is more withdrawn and subdued. Her memory has deteriorated, and she has lost 45 pounds in the past five months. She complains of weakness and difficulty maintaining her balance. During your examination, she scores 21/30 on the mini-mental status exam.
What is the most likely diagnosis?
A) Somatization disorder
B) Hypoglycemia
C) Human immunodeficiency virus
D) Systemic lupus erythematosus
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |
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