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Nursing PMHN-BC Exam Syllabus Topics:

SectionWeightObjectives
Diagnosis18%- Analysis of data
  • 1. Psychiatric diagnoses (DSM criteria)
  • 2. Collaborative problems
  • 3. NANDA-I nursing diagnoses
Assessment24%- Analysis and use of data
  • 1. Identification of patterns and variances
  • 2. Differential diagnosis consideration
- Collection of data
  • 1. Risk assessment (suicide, violence, abuse)
  • 2. Biophysical assessment
  • 3. Psychosocial assessment
  • 4. Mental status examination
Evaluation6%- Outcomes assessment
  • 1. Plan modification as needed
  • 2. Reassessment of patient response
  • 3. Documentation of outcomes
Planning15%- Plan development
  • 1. Evidence-based interventions
  • 2. Coordination of care
  • 3. Health teaching and health promotion
  • 4. Therapeutic modalities
Implementation25%- Psychopharmacological interventions
  • 1. Medication administration and monitoring
  • 2. Patient education on medications
  • 3. Side effect management
- Therapeutic interventions
  • 1. Family therapy approaches
  • 2. Group therapy
  • 3. Individual psychotherapy
  • 4. Crisis intervention
- Milieu therapy
  • 1. Therapeutic environment
  • 2. Safety protocols
  • 3. Boundary maintenance
Outcome Identification12%- Short-term and long-term goals
  • 1. SMART criteria
  • 2. Realistic and measurable outcomes
  • 3. Patient-centered outcomes

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

1. Alzheimer's disease (AD) must be distinguished from vascular dementi
a. Vascular dementia has all but which of the following characteristics?

A) patient history of falls
B) personality change
C) insidious onset
D) step-wise deterioration


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


3. Certain actions are recommended when a negative outcome is identified. Which of the following is NOT one of them?

A) Do not abandon the goal even if safe processes cannot be determined.
B) Apologize quickly to those affected.
C) Acknowledge that the outcome is less than expected.
D) Correct negative outcomes quickly.


4. Involving family members in teaching clients is essential for which of the following reasons?

A) The chances that instruction for the patient will be utilized increases.
B) The family can let you know how the patient is complying with instructions.
C) The family may have cultural needs to be met.
D) They may feel isolated if not included.


5. 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) Suppression
B) Repression
C) Intellectualization
D) Sublimation


Solutions:

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

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