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Updated: Aug 08, 2026
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College Admission PMHNP Exam Overview:
| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
| Exam Name: | Adult Psychiatric-Mental Health Nurse Practitioner Certification Examination (PMHNP-BC) |
| Exam Number: | PMHNP-BC |
| Certificate Validity Period: | 5 years |
| Exam Duration: | 240 minutes |
| Available Languages: | English |
| Exam Price: | USD 395 (ANCC members) / USD 495 (non-members) |
| Related Certifications: | Family Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) Psychiatric-Mental Health Nurse Practitioner (across lifespan) |
| Passing Score: | Scaled score of 350 (on a 200–800 scale) |
| Real Exam Qty: | Approximately 175 scored + 25 unscored pretest items |
| Exam Format: | Multiple-choice questions, Computer-based exam, Multiple-select questions |
| Recommended Training: | ANCC PMHNP Certification Review Resources AANP Psychiatric-Mental Health NP Resources |
| Exam Registration: | Prometric Test Scheduling ANCC Certification Application Portal |
| Sample Questions: | College Admission PMHNP Sample Questions |
| Exam Way: | Computer-based testing at authorized testing centers or remote proctored exam (availability may vary by region and testing cycle) |
| Pre Condition: | Active RN license in the United States, completion of a graduate-level (MSN or DNP) nurse practitioner program in psychiatric-mental health nursing with adult population focus |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/ |
College Admission PMHNP Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
| Psychotherapeutic Modalities | - Crisis Intervention - Group and Family Therapy - Individual Psychotherapy |
| Advanced Practice Skills | - Treatment Planning - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment |
| Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders - Psychotic Disorders |
| Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:
1. PMH-NPs understand the use of facilitating interventions to elicit the best response to a psychiatric interview. Which of the following would be considered an obstructive intervention and generally not helpful in achieving best-practice outcomes?
A) Reinforcement
B) Compound questions
C) Reassurance
D) Reflection
2. Your patient is a 4-year-old boy who when he was two years old was physically abused by his father. His father no longer lives with the family. The child has begun to inappropriately relate to others, especially his peers. He is not selective in his socialization tolerating familiar people and strangers alike. Of the following disorders, which one is the most likely?
A) acute stress disorder
B) disinhibited social engagement disorder
C) adjustment disorder
D) posttraumatic stress disorder
3. When treating individuals with personality disorders, a PMHNP understands that nonpharmacological management is the most common form of treatment. The focus of treatment is usually based on issues of limiting setting, coping skills, interpersonal skills, and protection from self-harm. When developing a care plan for an individual with a personality disorder, which of the following would be least likely to be recommended for an individual with a personality disorder?
A) DBT
B) An unstructured environment to promote feelings of control
C) Case management
D) CBT
4. You are advising a new nurse practitioner opening a solo practice. You understand that they are expected to be competent in their role of treating and diagnosing patients. Which of the following, if identified as a core competency area by the new nurse practitioner, requires you to provide them with further information?
A) Policy
B) Practice inquiry
C) ICD-9 and ICD-10 code memorization
D) Technology and information literacy
5. 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) Restricting patient interactions to minimize the risk of imitative behaviors
B) Identifying and removing patients who display imitative behaviors
C) Ensuring patients always model positive behaviors and coping strategies for each other
D) Monitoring patient interactions and intervening if imitative behaviors arise
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: D |
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