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Last Updated: Aug 19, 2026

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Nursing PMHN-BC Exam Syllabus Topics:

SectionObjectives
Topic 1: 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
          Topic 2: Professional Role Development- Continuing Competency
          • 1. Quality improvement in psychiatric nursing practice
            - Interprofessional Collaboration
            • 1. Care coordination across healthcare teams
              Topic 3: Psychiatric–Mental Health Nursing Foundations- Clinical Decision-Making
              • 1. Differential diagnosis support and clinical reasoning
                • 2. Evidence-based practice application
                  - Assessment and Diagnostic Reasoning
                  • 1. Risk assessment (suicide, violence, self-harm)
                    • 2. Comprehensive psychiatric assessment across lifespan
                      • 3. Mental status examination and interpretation
                        Topic 4: Therapeutic Interventions- Psychopharmacology Principles
                        • 1. Side effects and monitoring
                          • 2. Medication classes for psychiatric disorders
                            - Psychotherapeutic Modalities
                            • 1. Cognitive and behavioral interventions
                              • 2. Crisis intervention and stabilization

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

                                1. Avoidant personality disorder exhibits the characteristic of:

                                A) difficulty making everyday decisions
                                B) reluctance to delegate tasks or work with others
                                C) all of the above
                                D) unwillingness to be involved with people unless sure of being liked


                                2. The type of aphasia that is characterized by impairment in all three areas of fluency, comprehension, and repetition is:

                                A) Broca's aphasia
                                B) global aphasia
                                C) conduction aphasia
                                D) Wernicke's aphasia


                                3. When the client attempts to keep anxiety-provoking thoughts and feelings out of awareness by disrupting the interactional process with avoidance, acting out, forgetting, etc., this is which of the following?

                                A) testing behaviors
                                B) transference
                                C) resistance
                                D) countertransference


                                4. In terms of a psychosocial assessment, a client's urge to harm himself is part of which component of the assessment?

                                A) thought process and content
                                B) motor behavior
                                C) history
                                D) mood and affect


                                5. 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 had a duty to care for the patient.
                                C) That the harm resulted from the nurse's action or inaction.
                                D) That the nurse intended to cause the patient harm.


                                Solutions:

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

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