GEORGETTE'S PMHNP
EXCELLENT PMHNP BOARD EXAM
REVIEW GUIDE
LAST MINUTE REVISION
GEORGETTE'S PMHNP CERTIFICATION
EXAM REVIEW GUIDE
EXCELLENT BOARD EXAM REVIEW
MATERIAL.
PMHNP BOARD EXAM
NEW
,a highly popular, fast-paced test-preparation platform specifically
designed for graduates preparing for the American Nurses Credentialing
Center (ANCC) or AANP Psychiatric-Mental Health Nurse Practitioner
board exams.
Key Content Blueprints Covered
The review sessions and corresponding digital study guides directly map to the official
exam domains: [1]
1. Scientific Foundations & Neurobiology
Biochemical Pathways: Mechanism of action for major neurotransmitters
(Serotonin, Dopamine, GABA, Norepinephrine).
Neuroanatomy: Brain structures (such as the prefrontal cortex, amygdala, and
hippocampus) and their associated mental health manifestations. [1]
2. Advanced Psychopharmacology
Drug Mechanisms: High-yield classification review of SSRIs, SNRIs, MAOIs,
Mood Stabilizers, and atypical/typical Antipsychotics.
Critical Side Effects: Recognition and immediate treatment protocols for life-
threatening drug reactions like Neuroleptic Malignant Syndrome (NMS) and
Serotonin Syndrome, alongside managing metabolic syndromes and lithium
toxicity.
3. Clinical Diagnosis & Treatment (DSM-5)
Diagnostic Criteria: Quick recall of core criteria for complex conditions across
life spans (e.g., Major Depressive Disorder, Bipolar Disorder, Schizophrenia,
ADHD, and Borderline Personality Disorder).
Pediatric & Geriatric Care: Specific screening tools, developmental milestones,
and age-related prescribing adjustments (such as utilizing the Beers Criteria). [1]
4. Psychotherapies & Legal Frameworks
Therapeutic Modalities: High-level differentiation between Cognitive
Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and family
systems therapies.
Ethics & Policy: Patient autonomy, informed consent, Advance Directives,
malpractice laws, scope of practice, and cultural competency. [1, 2]
Culture:
Culture expected response to stressor= meaning/context= cultural
syndrome= brief support therapy = job/house loss.
,Brief support therapy: short-term, client centered that focuses on
emotional support, practical problem solving, and coping strategies for
individuals dealing with stress.
Somatic complaints of pain = context
Respect patient culture without judgement, and understand their
meaning of disease.
Cultural formulation interview: clarify meaning of illness or
predicament, contextualize their situation in their local world, and
empower patient.
- Native Americans (ethnic group**) = imbalance between an
individual’s relationship with the world.
EX: healing stick = medicine stick, sacred object used in spiritual
and healing practices. Believe to carry the energy of nature,
helping restore balance between body and soul. Connect the
spiritual world with the physical world.
- Traditional healer/ family members = clearance for informed
consent.
Serving multicultural populations > provide multicultural teaching > use
ethnospecific assessment parameters.
Cultural syndromes: cluster of symptoms and atributions that tend to co-
occur among individuals in a specific population, communitiees, or
contexts.
, - Latinos – Susto “ fright” – common folk illness, result from a
shocking, unpleasant, or frightening experience that is believe to
cause the soul to leave the body.
S/S: appetite disturbances, inadequate or excessive sleep,
trouble sleeping, dreams, sadness, lack of motivation, and
feeling low self-esteem, dirtiness.
Somatic S/S: muscle aches and pains, headache,
stomachache, and diarrhea
- Puerto Rican syndrome: “Ataque de nervios”
“Attack of nerves”: uncontrollable shouting, attacks of
crying, trembling, heat in the chest rising into the head, and
verbal/ physical aggression.
Latin Americans:
- “Mal de ojo” (evil eye): caused by envious or admiring gaze,
which can bring bad luck, illness, or misfortune, especially in
children.
S/S: fatigue, headache, weight loss, exhaustion, malaise,
restlessness, crying, or colic in babies.
Tx: egg cleansing rituals “limpia de huevo” passed over the
body and then cracked in water to absorb bad energy.
- Empacho (blocked intestine): illness believed to be caused by
undigested food stuck in the stomach/intestines leading to digestive
discomfort. (common in Mexicans)
Caused by eating too much or too quickly
S/S: bloated, nausea, vomiting, loss appetite, stomach pain
TX: stomach massage, egg pass or spinal adjustment (pulling
of the spine skin to help realign body).
- “Mollera caida” (sunken fontanel in a baby): babies soft spot
(fontanelle) on the head sinks abnormally due to improper
handling of the baby. Ex: sudden pulling o bouncing (lifting the
baby too quickly).