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Last Updated: Sep 17, 2026
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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education |
| Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry |
| Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan |
| Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Group, family, and individual therapy principles - Therapeutic frameworks and modalities |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
A PMHNP is seeing a patient for a follow-up appointment for the management of depressive symptoms. The patient started Prozac three weeks ago and reports feeling much better. Which of the following is appropriate anticipatory guidance?
- A. Schedule a patient follow up in one month to assess Prozac at peak levels
- B. Explain that the benefits of the medication will gradually diminish over the next 4-6 months
- C. Establish a relapse plan
- D. Assess the patient for side effects
Correct Answer: C 🗳️
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Complementary and alternative therapies (CATs) are becoming more widely embraced in the United States. Which of the following is an example of a mind-body CATs intervention?
- A. Yoga
- B. Acupressure
- C. Massage therapy
- D. Vitamins and supplements
Correct Answer: A 🗳️
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PMH-NPs understand the use of facilitating interventions to elicit the best response to a psychiatric interview. Which of the following would be considered an obstructive intervention and generally not helpful in achieving best-practice outcomes?
- A. Reflection
- B. Reassurance
- C. Reinforcement
- D. Compound questions
Correct Answer: D 🗳️
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A skilled psychiatric interviewer should use person-centered communication. The focus should be on understanding the person and helping them tell their story. Which of the following is an essential component of excellent care?
- A. Goals in the treatment plans should be based on the patient's goals, which could be different than the psychiatrist's goals
- B. When patient goals and psychiatric goals vary widely, it is important to create goals for patient teaching regarding psychiatric diagnoses
- C. The psychiatric care provider must carefully acknowledge the patient's goals, but the care plan should reflect psychiatric goals, such as decreasing hallucinations
- D. Rephrase the patient's goals in psychiatric terms to increase understanding and subsequent compliance with the treatment plan
Correct Answer: A 🗳️
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Which of the following medications puts a patient most at risk for possible electrocardiogram changes?
- A. Anticonvulsants
- B. SSRIs
- C. Tricyclic antidepressants
- D. Anxiolytics
Correct Answer: C 🗳️
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