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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes |
| Topic 2: Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent |
| Topic 3: Psychotherapy and Related Theories | 11% | - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Group, family, and individual therapy principles |
| Topic 4: Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan |
| Topic 5: Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. A PMHNP is assessing a patient for the presence of personality disorders. Which of the following assessment tools would be most appropriate for the PMHNP to use to evaluate the patient's personality traits and potential personality disorder diagnoses?
A) Millon Clinical Multiaxial Inventory - III (MCMI-III)
B) Beck Anxiety Inventory (BAI)
C) Personality Diagnostic Questionnaire - 4 (PDQ-4)
D) Minnesota Multiphasic Personality Inventory - 2 (MMPI-2)
2. In generalized anxiety disorder (GAD), anxiety and worry are out of proportion to the actual likelihood or effect of the feared event. Which of the following physical findings would be most unexpected when assessing this diagnosis?
A) Tachycardia
B) Numbness
C) Low muscle tone
D) Autonomic hyperarousal signs
3. What psychoactive substance is most widely used in the United States?
A) Cannabinoids
B) Stimulants
C) Hypnotics
D) Opioids
4. The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. Which study would appear in Level 1 of an evidence hierarchy?
A) Randomized controlled trial
B) Meta-analysis
C) Qualitative study
D) Opinions of expert committees
5. Which circadian rhythm sleep-wake disorder subtype is characterized by falling asleep and waking earlier than desired?
A) Irregular sleep-wake type
B) Shift work type
C) Delayed sleep phase type
D) Advanced sleep phase type
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: D |








