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College Admission PMHNP Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
| Topic 2: Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
| Topic 3: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Anxiety and Trauma-Related Disorders - Psychotic Disorders - Mood Disorders - Substance Use Disorders |
| Topic 4: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Topic 5: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
Question 1
A PMHNP often uses an integrated approach to treating mental health disorders instead of a purely pharmacological approach. These nonpharmacologic options can include group therapy, family therapy, and alternative treatments such as meditation. Drug therapy does not address interpersonal and life stressors.
Which group of diagnoses particularly benefits from and is frequently prescribed nonpharmacologic therapy in addition to medication?
A. Autism spectrum disorder
B. Narcissistic and borderline personality disorders
C. Schizophrenia
D. Frontal-temporal lobe dementia
Question 2
According to family systems theory, a system is any unit structured on feedback. What is the name of the process in which all family members operate together?
A. Family dynamics
B. Family hierarchy
C. Family relationships
D. Family system
Question 3
A patient with bipolar disorder is refusing to take their medication even though it is necessary for the management of their condition. How should the PMHNP assess the patient's decision-making capacity?
A. Assess the patient's ability to comply with their treatment plan
B. Assess the patient's ability to understand the consequences of refusing medication
C. Assess the patient's ability to identify other treatment options
D. Accept that the patient has a decision-making capacity because they are refusing medication
Question 4
Which of the following would a PMHNP be least likely to use in the course of assessing a patient suspected of having an anxiety disorder?
A. Yale-Brown Obsessive-Compulsive Scale (Y-BOCS)
B. NICHQ Vanderbilt Assessment Scales
C. Hamilton Rating Scale for Anxiety (HAM-A)
D. Zung's Anxiety Scale
Question 5
Which of the following would be an appropriate early intervention strategy for a community mental health clinic to target personality disorders?
A. Provide education and guidance to new and expectant parents through groups, community education, and social outreach
B. Monitor families with a known history of mental illness
C. Refer all new and expectant parents to medical social work
D. Screen for instability in homes that could increase stressors
Solutions:
| Question 1 Answer: B | Question 2 Answer: D | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: A |



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