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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Ethics, Legal Principles, and Cultural Care17%- Advocacy, policy, and quality improvement
- Professional ethics, scope of practice, standards of care
- Legal regulations, confidentiality, informed consent
- Cultural, spiritual, and social determinants of health
Topic 2: Diagnosis and Treatment22%- Diagnostic classification systems (DSM-5, ICD-10)
- Differential diagnosis across lifespan
- Biological, environmental, and lifestyle interventions
- Pharmacological management and monitoring
Topic 3: Scientific Foundation22%- Psychopharmacology, pharmacokinetics, pharmacodynamics
- Neuroanatomy, neurophysiology, neurochemistry
- Pathophysiology of mental health disorders
- Genetics, epigenetics, and developmental processes
Topic 4: Advanced Practice Skills27%- Screening, risk assessment, and safety evaluation
- Care coordination, interprofessional collaboration
- Cultural competence, communication, and patient education
- Health assessment, history taking, diagnostic reasoning
Topic 5: Psychotherapy and Related Theories11%- Therapeutic frameworks and modalities
- Crisis intervention and stabilization
- Evidence-based psychotherapy approaches
- Group, family, and individual therapy principles

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

1. All the following words describe someone with a Cluster C personality disorder except:

A) Tense
B) Cold
C) Anxious
D) Overcontrolled


2. Which of the following is a common non-psychoactive supplement used to help cure symptoms of illness and maintain health?

A) Fish oil
B) St. John's wort
C) Magnesium
D) Belladonna


3. A PMHNP is working with a patient who constantly expresses disgust and aversion toward a certain group of people who engage in actions the patient considers unacceptable. According to Sigmund Freud, which defense mechanism is the patient exhibiting?

A) Displacement
B) Rationalization
C) Reaction formation
D) Projection


4. Which statement is true regarding bipolar disorder and pregnancy?

A) Lithium (Lithane, Lithobid) is safe during the first and third trimesters
B) Divalproex sodium (Depakote) is a safe alternative to lithium carbonate
C) Clonazepam (Klonopin) does not carry an increased risk of major fetal malformations
D) Carbamazepine (Tegretol, Carbatrol, Equetro) is a safe alternative to lithium carbonate


5. Regarding assessment skills and advanced health and physical assessments, a PMHNP has a supportive role and ensures which of the following?

A) Specific focus and interventions are limited to conditions of a psychiatric nature while ruling out presentations possibly caused by non-psychiatric conditions
B) The PMHNP is confident and competent to replace primary healthcare providers
C) Neurological exams should be performed by a specialist
D) The PMHNP is often trusted more than primary care providers and can support the client with primary care needs


Solutions:

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

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