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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement |
| Topic 2: Diagnosis and Treatment | 22% | - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Biological, environmental, and lifestyle interventions |
| Topic 3: Advanced Practice Skills | 27% | - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education |
| Topic 4: Psychotherapy and Related Theories | 11% | - Crisis intervention and stabilization - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles - Therapeutic frameworks and modalities |
| Topic 5: Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry - Pathophysiology of mental health disorders - Psychopharmacology, pharmacokinetics, pharmacodynamics |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. A PMHNP conducts a mental health assessment on a patient from a specific ethnic background. The patient's cultural background is most likely to impact which of the following?
A) The patient's physical ability to communicate symptoms and concerns
B) The patient's ability to understand teaching about mental health and illness
C) The patient's preferred methods of treatment for mental health issues
D) The patient's religious perspective on seeking help for mental health issues
2. You are making rounds at a nursing home. One of the patients, a 75-year-old male, has terminal cancer and is expected to live only a month or two more. When you ask him how he is doing, he tells you that he is resigned to his eventual death and is taking the time he has left to evaluate his life for meaning. You understand that this is the final stage of development throughout one's life. This stage is Erikson's stage of
A) generativity versus stagnation
B) identity versus role confusion
C) integrity versus despair
D) intimacy versus isolation
3. Which neurotransmitter is matched correctly with its general function?
A) Serotonin: reduced arousal, aggression, and anxiety
B) GABA: thinking, fine muscle action, and reward-seeking behavior
C) Dopamine: sleep, pain, mood states, and temperature
D) Norepinephrine: alertness, focused attention, learning, and memory
4. A PMHNP is considering the use of Axona for an elderly patient. What is the primary use of medical food in this patient population?
A) To improve memory and cognitive function
B) To reduce the severity of depression symptoms
C) To treat symptoms of anxiety disorder
D) To manage symptoms of Parkinson's disease
5. A 13-year-old patient with a diagnosis of autism spectrum disorder (ASD) is experiencing increased self-injury and aggression toward others at home and school. Their parent also reports witnessing rapid mood swings. Which of the following is the most appropriate psychotropic medication for the described target symptoms in ASD?
A) Adderall
B) Guanfacine
C) Lithium
D) Risperidone
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |





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