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College Admission PMHNP Exam Syllabus Topics:

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

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

Question 1

Which type of group therapy allows members to search for meaning and to find understanding and resolution of past conflicts?

A. Interpersonal learning
B. Instillation of hope
C. Reminiscence therapy
D. Corrective refocusing


Question 2

What statement most accurately describes agoraphobia?

A. These patients experience brief episodes of intense dread accompanied by physical symptoms
B. These patients fear embarrassment when they speak, write, or eat in public
C. These patients fear situations or places where they might have trouble obtaining help if they become scared
D. These patients feel tense or anxious most of the time and worry about many different issues


Question 3

A client taking clozapine is presenting with elevated body temperature. You recognize this as which of the following serious side effects?

A. Anemia
B. Agranulocytosis
C. Hyperthermia
D. Hyperprolactinemia


Question 4

Which publication from the Institute of Medicine identified the key issues contributing to poor quality of care and undesirable patient outcomes?

A. The Future of Nursing: Leading Change, Advancing Health
B. Crossing the Quality Chasm: A New Health System for the 21st Century
C. Health Professions Education: A Bridge to Quality
D. To Err Is Human: Building a Safer Health System


Question 5

A patient started Prozac two weeks ago and is being seen for a follow-up today in the clinic. He states that "this medication isn't working. It makes my stomach hurt in the morning, and I am still depressed. I think I'm having some kind of reaction to it! I want to stop it and get something else." What action would be most appropriate for the PMHNP to take to address this patient's concerns?

A. Prescribe a medication to counteract these side effects
B. Decrease the dose
C. Discontinue the medication
D. Provide additional medication instruction


Solutions:

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

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