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College Admission PMHNP Exam Syllabus Topics:

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

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

1. You are a nurse practitioner treating a 15-year-old male with a diagnosis of oppositional defiant disorder. He has been stable on Adderall for his ADHD for the past year. However, his mother is concerned because his aggression has been getting worse over the past three months, and she does not understand the sudden change in her son's behavior.
Which of the following actions is the most appropriate for you to take?

A) Ask the patient if he is angry about something
B) Refer the patient to a psychotherapist for behavior modification
C) Ask the patient if he was sexually abused three months ago
D) Ask the mother if the patient is being seen concurrently by his primary care provider for his ADHD


2. During a mental status exam of a 27-year-old female, the PMHNP notes the patient appears restless and is wearing a brightly colored cocktail mini-dress. This description of appearance in a mental status exam most closely aligns with which of the following diagnoses?

A) Dementia
B) Hypomania
C) Depression
D) Anxiety


3. N-STAT is an ANA program that does which of the following?

A) recommends nursing health policies
B) assures a safe workplace for nurses
C) unifies nurses' political voices
D) evaluates Medicare and Medicaid reforms


4. Which of the following risk factors is most associated with an increased likelihood of developing depression in an adult patient?

A) Recent life stressors
B) Female gender
C) Lower educational history
D) Incarceration


5. Problems with the frontal lobe are most likely to lead to which of the following?

A) Visual field defects
B) Personality changes
C) Sensory-perceptual disturbances
D) Aphasia and amnesia


Solutions:

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

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