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Exam Code: PMH-BC
Exam Name: ANCC Psychiatric-Mental Health Nursing Certification
Total Questions: 150 multiple-choice questions (125 scored + 25 pretest/unscored questions)
Time Allotted: 3 hours
Passing Score: Scaled score of 350 (out of 500); criterion-referenced (not a fixed percentage)Exam FormatComputer-based- available year-round at Prometric testing centers or via live remote proctoring

- Assessment and Diagnosis
- Knowledge
- Developmental stages (eg- Erikson- Piaget)
- Physiological causes of psychiatric symptoms (eg- urinary tract infection-thyroid dysfunction)
- Psychiatric disorders (eg- thought- mood- neurocognitive- personality-addictions)
- Coping and defense mechanisms (eg- denial- rationalization- projection)
- Skill
- Assessment tools and techniques (eg- mental status exam- safety risk exam- trauma history- diagnostic studies)
- Planning
- Knowledge
- Client-centered care (eg- strengths-based- client-stated goals- supportnetwork)
- Educational concepts (eg- motivation- readiness to learn- group dynamics)
- Cultural competence (eg- gender-sensitive care- religious beliefs- ethnicity-socioeconomic status)
- Skill
- Communication barrier management (eg- cognition- literacy- language-vision)
- Treatment planning (eg- SMART goals- interdisciplinary interventions-available support systems)
- Implementation
- Knowledge
- Treatment modalities (eg- recovery model- trauma-informed care- cognitivebehavioral therapy)
- Integrative interventions (eg- mindfulness- relaxation- aromatherapy)
- Neurostimulation (eg- transcranial magnetic stimulation- electroconvulsivetherapy)
- Skill
- Care coordination (eg- handoff communication- community resourcesidentification)
- Therapeutic environment management (eg- milieu- safety- structure- culture)
- Therapeutic communication (eg- active listening- reflection- motivationalinterviewing)
- Medication management (eg- reconciliation- adverse reaction identification-indications- contraindications- lab values)
- Psychoeducational group facilitation (eg- stress management- relapseprevention)
- Health promotion (eg- self-care- tobacco cessation- substance use prevention)
- Emergent situation and crisis management (eg- behavioral- medical)
- Evaluation
- Knowledge
- Legal and ethical considerations (eg- self-determination- informed consent-documentation)
- Process improvement (eg- quality variances- serious reportable events)
- Skill
- Outcome measurement- ongoing exam (eg- symptom reduction)- and revision of care plan