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Nursing PMHN-BC Exam Syllabus Topics:

SectionWeightObjectives
Implementation25%- Psychopharmacological interventions
  • 1. Patient education on medications
  • 2. Side effect management
  • 3. Medication administration and monitoring
- Milieu therapy
  • 1. Therapeutic environment
  • 2. Safety protocols
  • 3. Boundary maintenance
- Therapeutic interventions
  • 1. Individual psychotherapy
  • 2. Family therapy approaches
  • 3. Crisis intervention
  • 4. Group therapy
Planning15%- Plan development
  • 1. Therapeutic modalities
  • 2. Evidence-based interventions
  • 3. Coordination of care
  • 4. Health teaching and health promotion
Outcome Identification12%- Short-term and long-term goals
  • 1. Realistic and measurable outcomes
  • 2. SMART criteria
  • 3. Patient-centered outcomes
Diagnosis18%- Analysis of data
  • 1. Psychiatric diagnoses (DSM criteria)
  • 2. NANDA-I nursing diagnoses
  • 3. Collaborative problems
Evaluation6%- Outcomes assessment
  • 1. Documentation of outcomes
  • 2. Reassessment of patient response
  • 3. Plan modification as needed
Assessment24%- Analysis and use of data
  • 1. Differential diagnosis consideration
  • 2. Identification of patterns and variances
- Collection of data
  • 1. Risk assessment (suicide, violence, abuse)
  • 2. Biophysical assessment
  • 3. Mental status examination
  • 4. Psychosocial assessment

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Nursing ANCC Psychiatric–Mental Health Nursing Certification (PMHN-BC) Sample Questions (Q37-Q42):

NEW QUESTION # 37
What would cause a person with psychosis to be at a greater risk for violence?

Answer: B

Explanation:
A person with psychosis, a severe mental disorder characterized by a disconnection from reality, may be at a greater risk for violence due to several factors. One significant factor is a history of domestic violence. This is an internal factor that increases the likelihood of violent behavior in individuals with psychosis. This is because a history of domestic violence often results in learned aggressive behavior and the normalization of violence as a way to resolve conflicts.
In addition to a history of domestic violence, other factors can also contribute to the risk of violence in individuals with psychosis. For example, not getting the proper amount of sleep can lead to increased irritability, lower impulse control, and a higher likelihood of violent behavior.
Changes in appetite may also contribute to an increased risk of violence. Changes in appetite can be a sign of a worsening mental state or increased stress, which can contribute to an increased risk of violent behavior.
Similarly, changes in the person's level of activity can also be indicative of a worsening mental state. If a person with psychosis becomes more sedentary or more hyperactive than usual, this could be a sign of an impending psychotic episode, which may increase the risk of violent behavior. Therefore, monitoring and addressing these changes in appetite and activity level can help to manage the risk of violence in individuals with psychosis.
In conclusion, a person with psychosis may be at a greater risk for violence due to a combination of internal and external factors. These can include a history of domestic violence, lack of proper sleep, changes in appetite, and changes in activity level. By recognizing and addressing these risk factors, it may be possible to reduce the risk of violence in individuals with psychosis.


NEW QUESTION # 38
Under what domain of human growth and development would receptive and expressive language fall?

Answer: A

Explanation:
The cognitive domain of human growth and development encompasses the mental processes involved in gaining knowledge and comprehension, including thinking, knowing, remembering, judging, and problem-solving. These are higher-level functions of the brain and encompass language, imagination, perception, and planning. A key part of this domain is the development of language skills, which includes both receptive and expressive language abilities.
Receptive language refers to the ability to understand or comprehend language heard or read. It involves the successful interpretation of language through listening or reading and the processing of information to understand it. From an early age, individuals develop the ability to recognize words, comprehend the messages those words convey, and integrate them into their existing knowledge base.
Expressive language, on the other hand, is the ability to convey or express thoughts, ideas, or feelings through spoken, written, or sign language. It involves selecting the appropriate words, formulating them into coherent sentences and narratives, and using language effectively to communicate in diverse situations. Development in this area allows individuals to articulate their thoughts and needs to others, a crucial skill in all aspects of life.
Both receptive and expressive language skills are critical components of cognitive development because they enable individuals to engage effectively with their environment. These language skills facilitate educational achievements, social relationships, and professional success. As children grow, they acquire language from their interactions with parents, teachers, and peers, and through consumption of media such as books, television, and the internet, further enhancing their cognitive development in other areas such as abstract thinking and memory.
Therefore, when considering under which domain of human growth and development receptive and expressive language fall, it is clear that they are integral aspects of the cognitive domain. This domain supports the development of language skills as part of an individual's overall ability to process and use information effectively, which is essential for navigating and succeeding in the world.


NEW QUESTION # 39
What vitamin or mineral deficiency would NOT cause aggressive behavior?

Answer: C

Explanation:
Nutritional deficiencies can significantly affect both physical and mental health, and certain deficiencies are linked to changes in behavior, including aggression. However, it is important to identify which specific nutrients are associated with such changes.
Among the nutrients listed, calcium is not generally linked to aggressive behavior when deficient. Calcium plays a crucial role in bone health, muscle function, and nerve signaling but does not directly influence aggression or mood to a significant extent. On the other hand, deficiencies in certain vitamins and minerals like B12, folic acid, and pyridoxine (vitamin B6) have been associated with neurological and psychological disturbances that could manifest as aggressive behavior.
Vitamin B12 is essential for the proper functioning of the nervous system and for the production of neurotransmitters that regulate mood. Deficiency in B12 can lead to irritability and mood disturbances, among other symptoms. Folic acid is another B vitamin that is vital for the brain's functioning and emotional regulation. A deficiency in folic acid can lead to neurological impairments that may contribute to aggressive behavior.
Similarly, pyridoxine (vitamin B6) plays a role in the creation of neurotransmitters such as serotonin and dopamine, which influence mood and behavior. A deficiency in pyridoxine can disrupt the balance of these neurotransmitters, potentially leading to increased irritability and aggression.
Hence, while deficiencies in vitamins such as B12, folic acid, and pyridoxine can be linked to aggressive behavior, a deficiency in calcium generally does not cause this issue. Therefore, for the given options, calcium is correctly identified as the nutrient whose deficiency does not cause aggressive behavior.


NEW QUESTION # 40
I won the Science Fair in the eighth grade biology category. I must have been the only who entered in that category. What example of common distortion is this?

Answer: A

Explanation:
In the provided question, the individual won the Science Fair in the eighth grade biology category, which is a positive achievement. However, the individual then disqualifies this positive achievement by stating, "I must have been the only one who entered in that category." This is a clear example of the cognitive distortion known as "Disqualifying the Positive."
"Disqualifying the Positive" is a cognitive distortion where an individual invalidates or dismisses positive experiences, achievements or qualities, often by stating they are unimportant, irrelevant, or due to external factors. This distortion tends to reinforce negative beliefs or feelings by explaining away anything that could challenge these negative views. It is a form of all-or-nothing thinking, where any evidence that could contradict the negative self-view is filtered out.
In this case, the individual disqualifies their achievement of winning the Science Fair by suggesting that they were the only participant in the category, thereby discrediting the effort and skill that was involved in winning. They are dismissing the positive evidence of their achievement and focusing instead on potential negative aspects, reinforcing their negative feelings and beliefs.
"Jumping to Conclusions," "Magnification or Minimization," and "Emotional Reasoning" are other types of cognitive distortions, but they do not apply in this scenario. "Jumping to Conclusions" involves making negative assumptions without evidence, "Magnification or Minimization" involves exaggerating or downplaying the importance of events or qualities, and "Emotional Reasoning" involves basing your view of situations or yourself on the way you feel. Here, the individual is not making assumptions without evidence, exaggerating or downplaying anything, or basing their thoughts on their emotions. Instead, they are disqualifying a positive achievement, making "Disqualifying the Positive" the correct answer.


NEW QUESTION # 41
When the health care professional freely provides data but the choice is left wholly up to the patient this is indicative of which of the following models?

Answer: D

Explanation:
The correct answer to the question is the "informative model."
In the informative model of health care delivery, the primary role of the health care professional is to provide the patient with all necessary information regarding their health condition, potential treatments, risks, and benefits associated with each option. This model emphasizes the provision of comprehensive, unbiased data without the health care provider making recommendations or decisions on behalf of the patient.
This approach is based on the belief that patients, when fully informed, are best placed to make decisions that align with their values, preferences, and personal circumstances. The health care professional's responsibility is to ensure that the patient understands the information provided so that they can make an informed choice.
The informative model is particularly useful in scenarios where no long-term physician-patient relationship exists or is necessary, such as during one-time consultations or specific evaluative sessions. It is also applicable when the patient is generally knowledgeable about their condition and feels comfortable making health-related decisions independently.
Unlike the paternalistic model, where the physician largely directs the course of treatment, or the deliberative model, where the physician helps the patient make a choice that aligns with their own values, the informative model is strictly about providing information and leaving the decision entirely up to the patient. This model respects patient autonomy to the utmost degree and supports the ethical principle of informed consent.


NEW QUESTION # 42
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