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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Group, family, and individual therapy principles - Therapeutic frameworks and modalities |
| Topic 2: Advanced Practice Skills | 27% | - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning |
| Topic 3: Ethics, Legal Principles, and Cultural Care | 17% | - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent |
| Topic 4: Diagnosis and Treatment | 22% | - Differential diagnosis across lifespan - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions |
| Topic 5: Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics - Neuroanatomy, neurophysiology, neurochemistry |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
What is the difference between a delusion and an illusion?
- A. A delusion is a belief that things will not improve, and an illusion is the belief that one will not be able to change the course of events
- B. A delusion is the feeling of being far away from oneself, and an illusion is a sense that one's environment has changed
- C. A delusion is a false auditory perception, and an illusion is a false visual perception
- D. A delusion is a false belief despite contrary evidence, and an illusion is a false perception of a real stimulus
Correct Answer: D 🗳️
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What is the primary purpose of the corpus callosum?
- A. To control voluntary motor movement, working memory, and behavioral cueing
- B. To coordinate the movement of multiple muscles
- C. To support multimodal sensory input and trigger memories
- D. To connect the right and left hemispheres and facilitate sensorimotor information exchange
Correct Answer: D 🗳️
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A client presents to your office for a new psychiatric evaluation. He is complaining of depression, sadness, hopelessness, and helplessness. He reports that he has tried everything, even Saint John's wort, but nothing has worked.
What is the first assessment you would perform?
- A. Genetic testing to tailor his medication trials
- B. A complete medication history including both prescribed and over-the-counter medications
- C. Laboratory tests to check for hyperthyroidism
- D. An assessment of prescribed medications and potential medication allergies
Correct Answer: B 🗳️
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Regarding assessment skills and advanced health and physical assessments, a PMHNP has a supportive role and ensures which of the following?
- A. The PMHNP is confident and competent to replace primary healthcare providers
- B. Specific focus and interventions are limited to conditions of a psychiatric nature while ruling out presentations possibly caused by non-psychiatric conditions
- C. The PMHNP is often trusted more than primary care providers and can support the client with primary care needs
- D. Neurological exams should be performed by a specialist
Correct Answer: B 🗳️
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Oppositional defiant disorder is often misdiagnosed in adolescents. Which of the following is least likely to be a characteristic of ODD?
- A. The client is needy and attention seeking
- B. The client often places blame on others
- C. The client loses their temper easily
- D. The client is touchy or easily annoyed
Correct Answer: A 🗳️
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