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Nursing PMHN-BC Exam Syllabus Topics:

SectionObjectives
Topic 1: 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
          Topic 2: Psychiatric–Mental Health Nursing Foundations- Clinical Decision-Making
          • 1. Evidence-based practice application
            • 2. Differential diagnosis support and clinical reasoning
              - Assessment and Diagnostic Reasoning
              • 1. Comprehensive psychiatric assessment across lifespan
                • 2. Mental status examination and interpretation
                  • 3. Risk assessment (suicide, violence, self-harm)
                    Topic 3: Patient Safety and Ethical Practice- Ethics and Legal Standards
                    • 1. Confidentiality and informed consent
                      • 2. Mental health legal frameworks
                        - Safety and Risk Management
                        • 1. De-escalation techniques
                          • 2. Inpatient and outpatient safety protocols
                            Topic 4: 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. When planning care for a patient with anxiety disorder, it is key for the nurse to recognize and explore behaviors such as pacing or hand-wringing which the patient uses to alleviate anxiety. These are known as which of the following?

                                A) Release behaviors.
                                B) Tics.
                                C) Relief behaviors.
                                D) Avoidance behaviors.


                                2. Which of the following places is best to conduct a psychosocial assessment?

                                A) a park
                                B) an isolated location
                                C) a busy loud open place
                                D) a conference room


                                3. Marcia and her husband are unable to have children. As a result, Marcia works with mentally challenged children to help them develop good exercise and nutrition habits. She is using which of the following defense mechanisms to deal with her childlessness?

                                A) Repression
                                B) Sublimation
                                C) Suppression
                                D) Intellectualization


                                4. I won the Science Fair in the eighth grade biology category. I must have been the only who entered in that category. What example of common distortion is this?

                                A) Jumping to conclusions
                                B) Emotional reasoning
                                C) Magnification or minimization
                                D) Disqualifying the positive


                                5. Which of the following phobias is not defined properly?

                                A) gynophobia - fear of women
                                B) acrophobia - fear of heights
                                C) nyctophobia - fear of smoke
                                D) agoraphobia - fear of open space


                                Solutions:

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

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