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Last Updated: Aug 24, 2026

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Nursing PMHN-BC Exam Syllabus Topics:

SectionObjectives
Patient Safety and Ethical Practice- Safety and Risk Management
  • 1. Inpatient and outpatient safety protocols
    • 2. De-escalation techniques
      - Ethics and Legal Standards
      • 1. Confidentiality and informed consent
        • 2. Mental health legal frameworks
          Professional Role Development- Interprofessional Collaboration
          • 1. Care coordination across healthcare teams
            - Continuing Competency
            • 1. Quality improvement in psychiatric nursing practice
              Psychiatric–Mental Health Nursing Foundations- Clinical Decision-Making
              • 1. Differential diagnosis support and clinical reasoning
                • 2. Evidence-based practice application
                  - Assessment and Diagnostic Reasoning
                  • 1. Mental status examination and interpretation
                    • 2. Risk assessment (suicide, violence, self-harm)
                      • 3. Comprehensive psychiatric assessment across lifespan
                        Therapeutic Interventions- Psychopharmacology Principles
                        • 1. Side effects and monitoring
                          • 2. Medication classes for psychiatric disorders
                            - Psychotherapeutic Modalities
                            • 1. Cognitive and behavioral interventions
                              • 2. Crisis intervention and stabilization

                                Nursing ANCC Psychiatric–Mental Health Nursing Certification (PMHN-BC) Sample Questions:

                                1. Which of the following medications would decrease seizure activity in ECT?

                                A) bupropion
                                B) propofol anesthetic
                                C) fluoxetine
                                D) lithium


                                2. When patients in the psychiatric unit of a hospital are expected to be on time for scheduled activities, where limits are set and the focus is on the here and now, what type of therapy is this?

                                A) psychosocial therapy
                                B) milieu therapy
                                C) cognitive therapy
                                D) behavior modification


                                3. Which of the following would be considered an important role that the nurse can play in a patient's recovery?

                                A) Both A and B
                                B) Educator
                                C) None of the above
                                D) Role model


                                4. What is NOT an element of judgment?

                                A) Ethical reasoning
                                B) Positive self-regard
                                C) Critical thinking
                                D) Decision making


                                5. What vitamin or mineral deficiency would NOT cause aggressive behavior?

                                A) Folic Acid
                                B) Pyridoxine
                                C) B12
                                D) Calcium


                                Solutions:

                                Question # 1
                                Answer: B
                                Question # 2
                                Answer: B
                                Question # 3
                                Answer: A
                                Question # 4
                                Answer: B
                                Question # 5
                                Answer: D

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