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Based on your practice exam question results from Week 2, identify strengths and areas of opportunity and create a tailored study plan to use throughout this course to help you prepare for the national certification exam. This will serve as an action plan to help you track your goals, tasks, and progress. You will revisit and update your study plan in NRNP 6675, and you may continue to refine and use it until you take the exam.

To Prepare

Reflect on your practice exam question results from Week 2. Identify content-area strengths and opportunities for improvement.

Also reflect on your overall test taking. Was the length of time allotted comfortable, or did you run out of time? Did a particular question format prove difficult?

The Assignment

Based on your practice test question results, and considering the national certification exam, summarize your strengths and opportunities for improvement. Note: Your grade for this Assignment will not be derived from your test results but from your self-reflection and study plan.

Create a study plan for this quarter to prepare for the certification exam, including three or four SMART goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.

Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.

Page 1

Test Content Outline Effective Date: December 16, 2019

Psychiatric-Mental Health Nurse Practitioner

Board Certification Examination

There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are included to determine how well these questions will perform before they are used on the scored portion of the examination. The pretest questions cannot be distinguished from those that will be scored, so it is important for a candidate to answer all questions. A candidate’s score, however, is based solely on the 150 scored questions. Performance on pretest questions does not affect a candidate’s score. This Test Content Outline identifies the areas that are included on the examination. The percentage and number of questions in each of the major categories of the scored portion of the examination are also shown. Note: The examples in parentheses are not all inclusive and do not indicate importance.

Category Content Domain Number of Questions Percentage

I Scientific Foundation 30 20% II Advanced Practice Skills 38 25%

III Diagnosis and Treatment 37 25% IV Psychotherapy and Related Theories 22 15% V Ethical and Legal Principles 23 15%

TOTAL 150 100% This examination will be developed in consideration of the below secondary classifications, whenever applicable.

Body Systems Drug Agents Age Group 1. Cardiovascular 1. Analgesic 1. Infant

2. Endocrine 2. Cardiovascular 2. Preschool 3. Gastrointestinal 3. Endocrine 3. School-Age 4. Genitourinary and Renal 4. Gastrointestinal 4. Adolescent

5. Head, Eyes, Ears, Nose, and Throat 5. Musculoskeletal

5. Young Adult (including late adolescent and emancipated minors)

6. Hematopoietic 6. Neurological 6. Adult 7. Immune 7. Psychiatric 7. Older Adult 8. Integumentary 8. Respiratory 8. Frail Elderly 9. Musculoskeletal 10. Neurological

11. Psychiatric

12. Reproductive

13. Respiratory

Page 2

I Scientific Foundation

A. Knowledge

1. Advanced pathophysiology

2. Advanced pharmacology (e.g., contraindications, interactions, adverse effects)

3. Advanced psychopharmacology (e.g., pharmacokinetics, pharmacodynamics, EPS, NMS)

4. Neurodevelopment

5. Neuroanatomy

6. Neurophysiology

7. Psychogenomics (e.g., gene-drug interactions, heritability)

B. Skill

1. Advanced physical assessment

II Advanced Practice Skills

A. Skill

1. Clinical interviewing (e.g., open-ended questions, nonverbal communication)

2. Health promotion and disease prevention (e.g., models, strategies)

3. Mental health screening tool selection and interpretation (e.g., PHQ-9, GAD- 7, Vanderbilt ADHD)

4. Mental status exam

5. Psychiatric emergency management (e.g., suicidal ideation, homicidal


6. Psychoeducation (e.g., presentation method, topic selection)

7. Recovery and resilience promotion

8. Risk assessment

9. Substance use screening tool selection and interpretation (e.g., COWS, CIWAS)

III Diagnosis and Treatment

A. Knowledge

1. DSM-5 diagnostic criteria

2. Complementary and alternative treatments B. Skill

1. Diagnostic and laboratory tests selection and interpretation

2. Diagnostic impression

3. Differential diagnosis

4. Evidence-based practice (e.g., medication dosing, off-label use,

psychotherapy selection)

5. Psychopharmacotherapeutic management (e.g., selection, monitoring)

6. Pharmacotherapeutic management (e.g., selection, monitoring)

Page 3

IV Psychotherapy and Related Theories

A. Knowledge

1. Psychotherapy principles (e.g., cognitive, grief and loss)

2. Change theories (e.g., Transtheoretical Model, motivational interviewing)

3. Developmental theories

4. Family theories (e.g., structural, narrative)

B. Skill

1. Therapeutic alliance development and management (e.g., empathy, boundaries, psychotherapy facilitation, trauma-informed approach)

V Ethical and Legal Principles

A. Knowledge

1. Patient’s Bill of Rights (e.g., informed consent, treatment options)

2. Scope of confidentiality (e.g., release of information, duty to warn)

3. ANA Scope and Standards of Practice: Psychiatric-Mental Health Nursing (e.g.,

Psychiatric-Mental Health Nursing role, collaboration, leadership)

4. Cultural and spiritual competence (e.g., special populations, risk factors, barriers)

B. Skill

1. Ethics in clinical decision making (e.g., involuntary treatment, least restrictive care)

2. Patient advocacy (e.g., educational accommodations, disabilities

accommodations, FMLA) Last Updated: October 15, 2018

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