Updated: Jul 26, 2026
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| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
| Exam Name: | Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification Exam |
| Exam Number: | PMHNP-BC |
| Passing Score: | 350 (scale 0–500) |
| Exam Format: | Computer-based, Multiple-choice, Multiple-response, Chart/exhibit items |
| Certificate Validity Period: | 5 years |
| Related Certifications: | Psychiatric-Mental Health Nursing - Board Certified (PMH-BC) Psychiatric-Mental Health Specialty - Board Certified (PMHS-BC) |
| Exam Duration: | 210 minutes |
| Available Languages: | English |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Exam Price: | $295–$395 USD |
| Recommended Training: | ANCC Official Review Resources American Psychiatric Nurses Association (APNA) Education |
| Exam Registration: | ANCC Official Application Portal Prometric Scheduling |
| Sample Questions: | College Admission PMHNP Sample Questions |
| Exam Way: | Computer-based, delivered at Prometric test centers; available year-round within 120-day testing window |
| Pre Condition: | Current active RN license; Master's/post-graduate/DNP degree in PMHNP from accredited program; minimum 500 supervised clinical hours; completion of advanced pathophysiology, health assessment, pharmacology coursework |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/ |
| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 27% | - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning |
| Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics |
| Ethics, Legal Principles, and Cultural Care | 17% | - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent |
| Psychotherapy and Related Theories | 11% | - Therapeutic frameworks and modalities - Group, family, and individual therapy principles - Crisis intervention and stabilization - Evidence-based psychotherapy approaches |
| Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions - Pharmacological management and monitoring |
1. What psychiatric condition is characterized by two or more motor tics and at least one vocal tic that occur frequently throughout the day?
A) Tourette's disorder
B) Stuttering
C) Attention-deficit/hyperactivity disorder
D) Oppositional defiant disorder
2. Which psychoanalytic theory attends to past and present developmental, environmental, and psychodynamic factors that shape present behaviors?
A) Cognitive therapy
B) Behavioral therapy
C) Psychoanalytic theory
D) Existential therapy
3. Which of the following statements about dementia is least accurate?
A) Those dementias caused by or related to another disease or condition are secondary dementias.
B) As dementia progresses, apraxia may develop.
C) The reversibility of a dementia is a function of the underlying pathology and of the availability and timely application of effective treatment.
D) Persons with dementia always suffer from aphasia.
4. 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) Case management
B) DBT
C) An unstructured environment to promote feelings of control
D) CBT
5. Which term describes a public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market?
A) Health alliance
B) Public interest group
C) Special interest agency
D) Political action committee
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: A |
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