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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Advanced Practice Skills27%- Screening, risk assessment, and safety evaluation
- Care coordination, interprofessional collaboration
- Cultural competence, communication, and patient education
- Health assessment, history taking, diagnostic reasoning
Topic 2: Psychotherapy and Related Theories11%- Evidence-based psychotherapy approaches
- Crisis intervention and stabilization
- Therapeutic frameworks and modalities
- Group, family, and individual therapy principles
Topic 3: Scientific Foundation22%- Genetics, epigenetics, and developmental processes
- Neuroanatomy, neurophysiology, neurochemistry
- Psychopharmacology, pharmacokinetics, pharmacodynamics
- Pathophysiology of mental health disorders
Topic 4: Ethics, Legal Principles, and Cultural Care17%- Legal regulations, confidentiality, informed consent
- Professional ethics, scope of practice, standards of care
- Advocacy, policy, and quality improvement
- Cultural, spiritual, and social determinants of health
Topic 5: Diagnosis and Treatment22%- Biological, environmental, and lifestyle interventions
- Pharmacological management and monitoring
- Differential diagnosis across lifespan
- Diagnostic classification systems (DSM-5, ICD-10)

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

Question 1

When prescribing psychotropic medication to an elderly patient, the nurse practitioner understands and incorporates what information in patient education?

A. Psychotropic medication may cause sleep disruption
B. There is a high risk of falls due to side effects
C. Psychotropic medication can be abused
D. Psychotropic medications cause dry mouth, which may decrease appetite


Question 2

A woman started 25 mg of Luvox yesterday for symptoms of OCD. She also takes Tegretol daily for migraine headaches but no other medication. Today, she is complaining of restlessness, a headache, chills, diaphoresis, and diarrhe a.
What should be the PMHNP's first consideration when addressing the etiology of this patient's symptoms?

A. Normal initial side effects of initiating antidepressant therapy
B. Serotonin syndrome
C. Worsening migraine headaches
D. Flu-like syndrome


Question 3

A PMHNP evaluates a 77-year-old man with the rapid onset of cognition with inattentiveness and disturbances in consciousness. On assessment, the patient presents with episodes of psychomotor agitation and retardation. Based on the patient's presentation and symptoms, the PMHNP should assess them for which of the following diagnoses?

A. Vascular dementia
B. Hyperactive delirium
C. Mixed delirium
D. Alzheimer's dementia


Question 4

A 21-year-old married man came to the emergency room for evaluation of severe and persistent anxiety following a DUI arrest. Which of the following is a breach of confidentiality?

A. Informing the patient's wife of his diagnosis
B. Releasing records to the insurance company for billing purposes
C. Releasing subpoenaed records
D. Releasing information to attorneys for litigation purposes


Question 5

Which of the following would be incorrect as an example of a descriptive statistic?

A. Mean
B. p-value
C. Variance
D. Standard deviation


Solutions:

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

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