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Nursing PMHN-BC Exam Syllabus Topics:

SectionObjectives
Topic 1: Patient Safety and Ethical Practice- Safety and Risk Management
  • 1. Inpatient and outpatient safety protocols
    • 2. De-escalation techniques
      - Ethics and Legal Standards
      • 1. Mental health legal frameworks
        • 2. Confidentiality and informed consent
          Topic 2: Professional Role Development- Continuing Competency
          • 1. Quality improvement in psychiatric nursing practice
            - Interprofessional Collaboration
            • 1. Care coordination across healthcare teams
              Topic 3: Therapeutic Interventions- Psychopharmacology Principles
              • 1. Side effects and monitoring
                • 2. Medication classes for psychiatric disorders
                  - Psychotherapeutic Modalities
                  • 1. Crisis intervention and stabilization
                    • 2. Cognitive and behavioral interventions
                      Topic 4: Psychiatric–Mental Health Nursing Foundations- Clinical Decision-Making
                      • 1. Evidence-based practice application
                        • 2. Differential diagnosis support and clinical reasoning
                          - Assessment and Diagnostic Reasoning
                          • 1. Risk assessment (suicide, violence, self-harm)
                            • 2. Comprehensive psychiatric assessment across lifespan
                              • 3. Mental status examination and interpretation

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

                                Question 1

                                When the health care professional freely provides data but the choice is left wholly up to the patient this is indicative of which of the following models?

                                A. deliberative model
                                B. informative model
                                C. autocratic model
                                D. paternalistic model


                                Question 2

                                Anticonvulsants such as Neurontin can be used for the treatment of such conditions as restless leg syndrome. Which of the following might be common side effects of this medication?

                                A. Sedation
                                B. Both A and C
                                C. Elevated cardiac enzymes
                                D. Ataxia


                                Question 3

                                Unexplained physical manifestations or deficits affecting voluntary motor or sensory function that suggest a neurological or other underlying medical condition indicate which of the following?

                                A. conversion disorder
                                B. general anxiety disorder
                                C. body dysmorphic disorder
                                D. chronic fatigue syndrome


                                Question 4

                                Involving family members in teaching clients is essential for which of the following reasons?

                                A. The family can let you know how the patient is complying with instructions.
                                B. They may feel isolated if not included.
                                C. The family may have cultural needs to be met.
                                D. The chances that instruction for the patient will be utilized increases.


                                Question 5

                                Which of the following statements about crisis and crisis intervention is least accurate?

                                A. Crisis is described as self-limiting.
                                B. All events that result in crisis are negative events.
                                C. When attempts at coping with stress fail, a crisis situation can develop.
                                D. A maturational crisis is also considered a developmental crisis.


                                Solutions:

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

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