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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Diagnosis and Treatment22%- Pharmacological management and monitoring
- Diagnostic classification systems (DSM-5, ICD-10)
- Differential diagnosis across lifespan
- Biological, environmental, and lifestyle interventions
Scientific Foundation22%- Neuroanatomy, neurophysiology, neurochemistry
- Genetics, epigenetics, and developmental processes
- Psychopharmacology, pharmacokinetics, pharmacodynamics
- Pathophysiology of mental health disorders
Advanced Practice Skills27%- Health assessment, history taking, diagnostic reasoning
- Cultural competence, communication, and patient education
- Care coordination, interprofessional collaboration
- Screening, risk assessment, and safety evaluation
Psychotherapy and Related Theories11%- Therapeutic frameworks and modalities
- Group, family, and individual therapy principles
- Crisis intervention and stabilization
- Evidence-based psychotherapy approaches
Ethics, Legal Principles, and Cultural Care17%- Professional ethics, scope of practice, standards of care
- Advocacy, policy, and quality improvement
- Cultural, spiritual, and social determinants of health
- Legal regulations, confidentiality, informed consent

College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:

A PMHNP is working with a patient who has a history of medication non-compliance. The patient's family requests a long-acting injectable medication without the patient's knowledge to ensure compliance. Which ethical principle should primarily guide the PMHNP's response?

  • A. Beneficence
  • B. Autonomy
  • C. Fidelity
  • D. Veracity
Answer: B

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An elevated temperature in a patient taking mood stabilizers and antipsychotics such as clozapine may be most concerning for which of the following?

  • A. Dehydration
  • B. Agranulocytosis
  • C. Infection
  • D. Increased metabolic rate
Answer: B

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Which of the following factors constrains the growth of the nurse practitioner role?

  • A. Growing emphasis on the need for integrated healthcare services
  • B. Patient demand for nurse practitioner services
  • C. Reimbursement struggles with Medicare
  • D. Patient acceptance of nurse practitioners
Answer: C

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All of the following pertain to The Joint Commission EXCEPT:

  • A. It is subject to the accrediting standards of the Centers for Medicare and Medicaid Service.
  • B. It accredits hospitals and other health care facilities.
  • C. It maintains electronic medical records to protect privacy per HIPAA.
  • D. It evaluates behavioral healthcare organizations that provide mental health, chemical dependency, mental retardation and other psychosocial services.
Answer: C

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When compared with patients suffering from major depression, a patient experiencing an episode of grief would likely preserve which feature?

  • A. Changes in emotional responses
  • B. Changes in cognitive reactions
  • C. Self-esteem
  • D. Changes in behavioral reactions
Answer: C

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