Psychiatric & Mental Health Nurse Practitioner Test Review

Are you a registered nurse who has an interest in diagnosing psychiatric disorders in patients? If so, you’ll need to take the Psychiatric-Mental Health Nurse Practitioner certification in order to meet your goals. Getting there will require lots of study, and you’ll need strong study tools like those provided by Mometrix, a leader in creating comprehensive study guides on topics like this one. But first, let’s take a look at what you’ll need to take the test, and what you can expect.


Degree requirements to take the test

  • Hold a current, valid RN license in the United State or a legally recognized equivalent from another country
  • Hold a Masters, postgraduate, or PhD degree from a psychiatric-mental health nurse practitioner program accredited by one of two groups — the Commission on Collegiate Nursing Education (CCNE), the Accreditation Commission for Education in Nursing (ACEN), or the or the National League for Nursing Accrediting Commission (NLNAC) with at least 500 clinical hours.

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Educational requirements to take the test

Candidates must have taken graduate level courses in advanced physiology/pathophysiology, advanced health assessment, and advanced pharmacology; with content in health promotion and/or maintenance, and differential diagnosis and disease management. Additionally, candidates are required to have clinical training in at least two psychotherapeutic treatment methods.

Who provides the certification

The American Nurses Credentialing Center (ANCC) provides the accreditation.

Family Psychiatric & Mental Health Nurse Practitioner Study Guide and Flashcards

Get practice questions, detailed study lessons, and complex subjects broken down into easily understandable concepts.

Study Guide

How much does the PMHNP Exam cost?

The cost of the Psychiatric and mental health nurse practitioner exam is $395 for non-members and $295 for members of the American Nurses Association.

Taking the test

The test is 175 total questions — 150 are scored, 25 are not. Candidates are tested on three areas of practice, called domains, and they are:

  • Scientific Foundation – 20% of your total score
  • Advanced Practice Skills – 25% of your total score
  • Diagnosis and Treatment – 25% of your total score
  • Psychotherapy and Related Theories – 15% of your total score
  • Ethical and Legal Principles – 15% of your total score

Under Scientific Foundation, you’ll be tested over your knowledge on pathophysiology, pharmacology, psychopharmacology, neurodevelopment, neurophysiology, and psychogenomics.

The Advanced Practice section tests your knowledge and skills in clinical interviewing, health promotion and disease prevention, mental health screening, mental status exams, psychiatric emergencies, psychoeducation, recovery and resilience promotion, risk assessment, and screening tool selection and interpretation for substance use.

Under the Psychotherapy and Related Theories test domain, you will see questions that pertain to psychotherapy principles, change, developmental, and family theories, as well as therapeutic development and management.

Finally, the last section of the PMHNP Exam is Ethical and Legal Principles. This will test your knowledge of Ethical and Legal Principles regarding mental health and medical practice. Topics covered will include: Patients’ bill of rights, the scope of confidentiality, the ANA scope and standards of practice, cultural and spiritual issues, ethics in clinical decision making, and patient advocacy.

The test is graded on a pass/fail basis. If you fail, you may retake the exam after a 60 day waiting period.

You’ll spend four hours at the testing center. The test takes 3.5 hours, with another 30 minutes set aside for check-in, instructions, and a practice session.

Online PMHNP Prep Course

If you want to be fully prepared, Mometrix offers an online PMHNP Prep Course. The course is designed to provide you with any and every resource you might want while studying. The PMHNP Course includes:

  • Review Lessons Covering Every Topic
  • 700+ PMHNP Practice Questions
  • More than 550 Digital Flashcards
  • Over 30 Instructional Videos
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The PMHNP Prep Course is designed to help any learner get everything they need to prepare for their PMHNP exam. Click below to check it out!



What does it cost to take the test?


There are different fees. ANCC offers discounts to members of the following organizations:

  • American Psychiatric Nurses Association ($282)
  • American Association of Nurse Practitioners student member ($290)
  • American Nurse Association ($295)
  • American Association of Nurse Practitioners ($340)
  • International Society of Psychiatric-Mental Health Nurses ($340)

If you don’t belong to any of those groups, it costs $395 to take the test.


How do I register to take the tests?


You need an authorization from the ANCC to take the test. Once you get it, you have 90 days to schedule an appointment to take the test at one of the hundreds of test centers across the United States.

You can register, to take the test through the ANCC online website.


What should I expect the day of the test?


Make sure to bring your government ID and your test confirmation letter. When checking in, any accessory — eyeglasses, jewelry, electronic devices – will be inspected to search for any sort of camera device that could be used to copy portions of the exam. All eyeglasses could be checked at check-in and after breaks. Wedding rings and engagement bands are the only jewelry permitted in the testing room. All books, paper, calculators, tissues, food, drink, water, notes, cell phone, or personal electronics are prohibited from being taken into the exam room. Use of cell phones or other electronic devices is prohibited.


When will I get my test results?


You’ll get the results as soon as you’ve completed the exam. If you pass the test, certification becomes effective immediately.


What If I need to withdraw?


You can withdraw from the test as long as you do so within the 90-day eligibility period. You can withdraw by contacting your testing center, writing the ANCC or sending an email to the American Nurses Association.


Can I retake the test?


Yes. If you fail the test you can retake it after a 60-day waiting period, and you can retake it up to three times in 12 months. The retest fee is $270 each time you retake the test.


How long does the certification last?


The certification lasts five years and can be renewed.

True, there’s a lot to go through here, and it doesn’t even include all of the study needed to pass the exam. That’s where Mometrix can help, because it has developed number of tools that can help you study for the exam.

It’s comprehensive study guide had been researched by a team of professionals with years of experience helping students prepare for exams just like this one. The guide provides specifics on how to tackle the questions you’ll be asked, and if you’re stumped, you can ask one of our experts for help via a useful email address.

Mometrix’s large, easy-to-read flashcards help you learn through repetition, and the questions cover every content area of the exam. Not only that, the cards make it easy for a friend or relative to help quiz you on the questions you’ll need to know in order to pass the test and become a Psychiatric-Mental Health Nurse Practitioner.