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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry |
| Topic 2: Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care |
| Topic 3: Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning |
| Topic 4: Psychotherapy and Related Theories | 11% | - Crisis intervention and stabilization - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles |
| Topic 5: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
A patient with bipolar disorder is being assessed using the Young Mania Rating Scale. Which of the following symptoms would a PMHNP least expect to assess when using the scale?
- A. Irritability and aggression
- B. Increased activity and energy levels
- C. Suicidal ideation and self-harm behaviors
- D. Rapid speech and flight of ideas
Correct Answer: C 🗳️
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Which circadian rhythm sleep-wake disorder subtype is characterized by falling asleep and waking progressively later than desired?
- A. Jet lag
- B. Non-24-hour sleep-wake type
- C. Shift-work type
- D. Advanced sleep phase type
Correct Answer: B 🗳️
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There are four levels of systems: microsystems, macrosystems, megasystems, and metasystems. In health care, what is an example of a macrosystem?
- A. A skilled nursing facility
- B. An individual patient
- C. The state of global health care
- D. The American healthcare system as a whole
Correct Answer: A 🗳️
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Oppositional defiant disorder (ODD) is an enduring pattern of angry or irritable mood and argumentative, defiant, or vindictive behavior that lasts at least six months. Which of the following is believed to be least likely to be a possible etiology of ODD?
- A. Under-stimulating environments and living situations
- B. Unresolved conflicts
- C. Parents who model extreme ways of expressing emotions
- D. Temperament
Correct Answer: A 🗳️
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A PMHNP completes a mental status exam on a patient that demonstrates findings consistent with anxiety. Some psychotic findings are noted when the patient is remembering certain events. These findings are most consistent with which of the following diagnoses?
- A. Obsessive-compulsive disorder
- B. Post-traumatic stress disorder
- C. Panic disorder
- D. Adjustment disorder
Correct Answer: B 🗳️
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