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Last Updated: Aug 09, 2026

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Nursing PMHN-BC Exam Syllabus Topics:

SectionObjectives
Psychiatric–Mental Health Nursing Foundations- Assessment and Diagnostic Reasoning
  • 1. Mental status examination and interpretation
    • 2. Risk assessment (suicide, violence, self-harm)
      • 3. Comprehensive psychiatric assessment across lifespan
        - Clinical Decision-Making
        • 1. Evidence-based practice application
          • 2. Differential diagnosis support and clinical reasoning
            Patient Safety and Ethical Practice- Ethics and Legal Standards
            • 1. Mental health legal frameworks
              • 2. Confidentiality and informed consent
                - Safety and Risk Management
                • 1. Inpatient and outpatient safety protocols
                  • 2. De-escalation techniques
                    Therapeutic Interventions- Psychopharmacology Principles
                    • 1. Medication classes for psychiatric disorders
                      • 2. Side effects and monitoring
                        - Psychotherapeutic Modalities
                        • 1. Cognitive and behavioral interventions
                          • 2. Crisis intervention and stabilization
                            Professional Role Development- Interprofessional Collaboration
                            • 1. Care coordination across healthcare teams
                              - Continuing Competency
                              • 1. Quality improvement in psychiatric nursing practice

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

                                1. The etiology of which disorder shows defects in Purkinje cells of the brain?

                                A) post traumatic stress disorder
                                B) autism spectrum disorder
                                C) Rett syndrome
                                D) eating disorders


                                2. What is NOT one of the three factors that contribute to the insomnia complaint according to Spielman's 3P model of insomnia?

                                A) Prompting factors
                                B) Precipitating factors
                                C) Predisposing factors
                                D) Perpetuating factors


                                3. Which of the following would not be a structured aspect of milieu therapy?

                                A) interaction among patients
                                B) unit rules
                                C) reality orientation practices
                                D) activities


                                4. Evidence of all but which of the following is required to prove that negligence occurred?

                                A) That a breach of duty occurred exposing the patient to unreasonable risk of harm.
                                B) That the nurse intended to cause the patient harm.
                                C) That the nurse had a duty to care for the patient.
                                D) That the harm resulted from the nurse's action or inaction.


                                5. A patient is released after being treated for cocaine intoxication. Which of the following would an nurse recommend to increase community support?

                                A) NA.
                                B) Rehab.
                                C) A
                                D) Alanon.


                                Solutions:

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

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