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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Diagnosis and Treatment43%- Special Populations
  • 1. Children and Adolescents
  • 2. Older Adults
- Treatment Planning
  • 1. Crisis Intervention
  • 2. Individualized Care Plans
- Clinical Management
  • 1. Acute Psychiatric Conditions
  • 2. Chronic Mental Illness Management
Topic 2: Scientific Foundation19%- Psychopathology
  • 1. Differential Diagnosis
  • 2. Psychiatric Disorders Across Lifespan
- Research and Evidence-Based Practice
  • 1. Clinical Guidelines
  • 2. Research Interpretation
- Neuroscience and Neurobiology
  • 1. Neurotransmitters and Brain Function
  • 2. Neurodevelopmental Concepts
Topic 3: Advanced Practice Skills24%- Assessment and Diagnosis
  • 1. Psychiatric Interviews
  • 2. Mental Status Examination
- Psychotherapy Modalities
  • 1. Supportive Therapy
  • 2. Cognitive Behavioral Therapy
- Psychopharmacology
  • 1. Drug Interactions and Side Effects
  • 2. Medication Management
Topic 4: Professional Role and Policy14%- Healthcare Policy
  • 1. Healthcare Regulations
  • 2. Advocacy and Leadership
- Collaboration and Consultation
  • 1. Care Coordination
  • 2. Interdisciplinary Practice
- Ethical and Legal Standards
  • 1. Professional Accountability
  • 2. Confidentiality and Consent

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q94-Q99):

NEW QUESTION # 94
A PMHNP is assessing a patient who has been admitted to the hospital with confusion and agitation. Which of the following is a hallmark presentation of delirium?

Answer: C

Explanation:
A hallmark presentation of delirium is impaired attention and memory. Delirium is an acute, fluctuating disturbance in attention and awareness, accompanied by changes in cognition, perception, and behavior. Patients with delirium may also experience disturbances in the sleep-wake cycle, fluctuations in mood, and perceptual disturbances such as hallucinations or delusions.
The onset of delirium is usually rapid, and the level of consciousness may fluctuate.


NEW QUESTION # 95
Which of the following is not a component of health policy?

Answer: D

Explanation:
The four components of health policy are process, policy reform, policy environment, and policymakers.
Branches of law are the medium through which the components of health policy are developed.


NEW QUESTION # 96
You are a new nurse practitioner treating a victim of intimate partner violence. Your client states that she had been in an abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client. Which of the following findings is least indicative of abuse?

Answer: B

Explanation:
Victims of abuse present as introverted, guarded, and evasive.
Mental status exam findings and the traits and behaviors suggestive of experiencing abuse are as follows:
* Fearfulness
* Evasiveness
* Being guarded
* Depression
* Passiveness
* Dependence


NEW QUESTION # 97
What is the correct term for the behavioral expression of anger, rage, and hostility that is demonstrated by the use of physical force directed toward persons or property?

Answer: D

Explanation:
Violence is the behavioral expression of anger, rage, and hostility that is demonstrated by the use of physical-not verbal-force directed toward persons or property.
Lethality describes the potential an act has to cause death. Rage is an emotion that is often expressed through violence but is not the demonstration of the emotion. Opposition can be expressed through violence, but there are many other ways it may be expressed.


NEW QUESTION # 98
A PMHNP is conducting a risk assessment for a patient with a history of suicide attempts. Which of the following factors is most likely to increase the patient's risk of harm?

Answer: C

Explanation:
For a risk assessment for harm to self or others, it is essential to consider several different factors, including the presence of psychiatric symptoms, the patient's social support, and their history of self-harm or violence. A strong support system can be protective, while the absence of a previous suicide attempt may not necessarily indicate low risk.
Feelings of hopelessness have been consistently identified as a significant risk factor for suicide. The PMHNP should take the patient's reported feelings of hopelessness into account when assessing their risk of harm to themselves or others. Additionally, substance use, including the use of alcohol, can also increase the risk of harm and should be taken into account when conducting a risk assessment. Alcohol use, however, should not be conflated with alcohol abuse.


NEW QUESTION # 99
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