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

  • Exam Code: PMHNP
  • Exam Name: American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified
  • Updated: Aug 13, 2026
  • Q&As: 1353 Questions and Answers

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College Admission PMHNP Exam Syllabus Topics:

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

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

1. Which psychotropic medication requires monitoring for the emergence of diabetes?

A) Metformin
B) Haldol
C) Serotonin-dopamine antagonists
D) Depakote


2. The daughter of a patient with dementia expresses frustration that her mother no longer appears to enjoy the television programs that once kept her occupied while the daughter worked from home. "I know I shouldn't get mad, but it's super frustrating. It's like her favorite TV programs agitate her now. I just don't understand!" Which information regarding dementia may increase the daughter's understanding of the patient's experience?

A) Television and radio programs can be overstimulating
B) Move the TV closer to the parent to reduce the field of vision
C) The patient should be scheduled for a hearing exam
D) Sit with the patient during TV and radio times to pair the activity with socialization


3. A patient is being evaluated for recurrent, episodic binge eating with no physiological evidence or self-report of purging. Her BMI is in the overweight category. The patient meets the criteria for the diagnosis of bulimia nervosa (binge eating with a lack of self-control for over 6 months paired with feelings of intense self-remorse). She reports compensatory behaviors such as severely restricting calories and excessive exercise.
Based on the absence of self-purging, the most appropriate diagnosis would be which of the following?

A) Binge eating disorder
B) Avoidant restrictive food intake disorder
C) Anorexia nervosa
D) Bulimia nervosa


4. A PMHNP is implementing a quality improvement project to improve the screening process for depression in their clinic. Which of the following steps of the Plan-Do-Study-Act (PDSA) cycle would involve developing a screening protocol and training staff on its use?

A) Plan
B) Act
C) Do
D) Study


5. A recurrent, unexpected, intense period of extreme apprehension and terror without a clear precipitant describes which of the following?

A) post-traumatic stress disorder
B) panic disorder
C) phobia
D) generalized anxiety disorder


Solutions:

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

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