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College Admission PMHNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 22% | - Differential diagnosis across lifespan - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions |
| Psychotherapy and Related Theories | 11% | - Group, family, and individual therapy principles - Therapeutic frameworks and modalities - Crisis intervention and stabilization - Evidence-based psychotherapy approaches |
| Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation |
| Ethics, Legal Principles, and Cultural Care | 17% | - 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 |
| Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. Which of the following pharmaceutical agents should the PMHNP consider as a first-line agent for the treatment of chronic anxiety disorders?
A) Xanax
B) SSRIs
C) Valium
D) Ativan
2. Of the following, which would be the most correct for a type of inpatient therapy that is used in psychiatric hospitals that involves the use of particular activities and social interactions according to the patient's needs?
A) None of the above
B) Psychotherapy
C) Milieu therapy
D) Sometimes therapy
3. According to Piaget, at what cognitive stage do children develop egocentric thinking?
A) Concrete operational
B) Formal operational
C) Sensorimotor
D) Preoperational
4. A patient with substance-use disorder is participating in group therapy, and the PMHNP is concerned about imitative behaviors that may arise within the group. Which of the following best describes the role of the PMHNP in preventing imitative behaviors in group therapy?
A) Ensuring patients always model positive behaviors and coping strategies for each other
B) Identifying and removing patients who display imitative behaviors
C) Monitoring patient interactions and intervening if imitative behaviors arise
D) Restricting patient interactions to minimize the risk of imitative behaviors
5. 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 mother if the patient is being seen concurrently by his primary care provider for his ADHD
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 patient if he is angry about something
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |
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