Updated: Aug 25, 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 |
| Exam Duration: | 210 minutes |
| Certificate Validity Period: | 5 years |
| Available Languages: | English |
| Related Certifications: | Psychiatric-Mental Health Nursing - Board Certified (PMH-BC) Psychiatric-Mental Health Specialty - Board Certified (PMHS-BC) |
| Passing Score: | 350 (scale 0–500) |
| Exam Format: | Computer-based, Multiple-choice, Multiple-response, Chart/exhibit items |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Exam Price: | $295–$395 USD |
| Recommended Training: | American Psychiatric Nurses Association (APNA) Education ANCC Official Review Resources |
| 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 |
|---|---|---|
| Diagnosis and Treatment | 22% | - Biological, environmental, and lifestyle interventions - Pharmacological management and monitoring - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) |
| Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles - Therapeutic frameworks and modalities - Crisis intervention and stabilization |
| Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation |
| Scientific Foundation | 22% | - Neuroanatomy, neurophysiology, neurochemistry - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes - Psychopharmacology, pharmacokinetics, pharmacodynamics |
1. What term describes the amount that people pay each time they use a particular healthcare service?
A) Loading charge
B) Copayment
C) Deductible
D) Premium
2. PMHNP is working with a community organization to develop prevention strategies to reduce homelessness. Which of the following interventions is most effective for preventing homelessness among individuals with mental health conditions?
A) Increasing access to emergency shelter services
B) Providing case management services and mental health treatment
C) Offering job training and employment assistance
D) Providing cash incentives for housing
3. Under which standard does the psychiatric nurse practitioner need to determine the patient's level of risk?
A) Outcomes evaluation
B) Diagnosis
C) Implementation
D) Assessment
4. A PMHNP is evaluating a new patient who does not speak English fluently. The patient has brought a family member to translate. What should the PMHNP do to ensure effective communication and respect the patient's rights?
A) Decline the family member's offer and arrange for a professional medical interpreter.
B) Suggest a collaborative compromise in which a bilingual staff member translates instead of a family member to ensure neutrality.
C) Respect the patient's autonomy by proceeding with the family member as the translator.
D) Use simple English and gestures to communicate directly with the patient, avoiding using a translator.
5. How are Cluster C personality disorder characteristics best described?
A) Dramatic
B) Eccentric
C) Anxious
D) Odd
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: C |
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