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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration - Cultural competence, communication, and patient education |
| Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Psychopharmacology, pharmacokinetics, pharmacodynamics - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry |
| Diagnosis and Treatment | 22% | - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring |
| Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Legal regulations, confidentiality, informed consent - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities - Group, family, and individual therapy principles - Crisis intervention and stabilization |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. According to Irvin Yalom, what would you expect to occur during the forming phase of group therapy?
A) Expectations are identified and boundaries are established
B) Members appear resistant and begin to use testing behaviors
C) Spontaneous communication occurs and group norms are established
D) Solutions begin to emerge through creative problem-solving
2. You are a nurse practitioner treating a seven-year-old male. His mother states, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention-deficit hyperactivity disorder (ADHD), but you need more information. The patient fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, talks out of turn and distracts other students, and interrupts when other students answer a question.
Which of the following symptoms is indicative of hyperactivity?
A) Is disorganized with assignments
B) Gets distracted often
C) Interrupts when other students answer a question
D) Fails to give attention in class
3. What statement most accurately describes generalized anxiety disorder?
A) These patients fear specific objects or situations such as animals, storms, or heights
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 the majority of the time and worry about many different issues
4. You are a nurse practitioner treating a seven-year-old male. His mother explains, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." The patient fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question. Given this information, you decide to perform a mental status exam on the client.
What findings would you expect when performing this assessment that would support a diagnosis of attention deficit hyperactivity disorder (ADHD)?
A) Poor concentration and memory
B) Paying close attention to questions being asked
C) Childlike play activities
D) Hyperfocus
5. Nonpharmacological management of major depressive disorders is most likely to include which of the following?
A) Ketamine therapy
B) EEG
C) Electroconvulsive therapy (ECT)
D) Acupuncture
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: C |




