Test Content Outline Effective Date: August 6, Psychiatric-Mental Health Nurse Practitioner Board Certification Examination

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1 Board Certification Examination There are 200 questions on this examination. Of these, 175 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used 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 175 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. Category Domains of Practice No. of Questions Percent I Foundations for Advanced Practice 51 29% Nursing II Professional Role and Policy 46 26% III Independent Practice Competencies 78 45% Total % 1

2 Note: Each item written within the test content outline classifications IA1 IA10 addresses at least one of the age groups noted below 1. Infant: birth - 1 year (23 months) (L1) 5. Adult: years (L5) 2. Preschool: 2-4 years (L2) 6. Young-Old: years (L6) 3. School Age: 5-12 years (L3) 7. Middle-Old: years (L7) 4. Adolescent: years (L4) 8. Oldest-Old: 85 years and Older (L8) I. Foundations for Advanced Practice Nursing (29%) A. Advanced Pathophysiology, Neurobiology, and Neuroanatomy 1. Developmental physiology and normal etiology across the life span 2. Pathogenesis and clinical manifestation of commonly found/seen altered health states 3. Advanced anatomy and physiology of the neurological system 4. Symptoms and related circuitry of normal and abnormal neurobiology 5. Analyzing the relationship between normal physiology and pathological phenomena produced by altered states across the life span 6. Analyzing physiologic responses to illness and treatment modalities 7. Assessing normal and abnormal neurological function 8. Assessing brain function based on patient symptoms 9. Interpreting implications of abnormal findings from diagnostic testing 10. Identifying needs of individuals with neural system dysfunction Note: Each item written within the test content outline classifications IB1 IB6 addresses at least one of the drug agents noted below 1. Antiinfective (D1) 8. Immunologic (D8) 2. Antineoplastic (D2) 3. Cardiovascular (D3) 4. Endocrine (D4) 5. Eye, ear, and skin (D5) 9. Musculoskeletal/analgesic (D9) 10. Neurologic (D10) 11. Psychiatric (D11) 12. Respiratory (D12) 6. Gastrointestinal (D6) 7. Genitourologic (D7) B. Advanced Pharmacology and Psychopharmacology 1. Pharmacotherapeutics of broad categories of medications 2. Pharmacokinetics and pharmacodynamics of broad categories of medications 3. Pharmacokinetics and pharmacodynamics of psychotropic medications 4. Analyzing the relationship between pharmacologic agents and physiologic/pathologic responses 5. Selecting general pharmacologic agents for the management of general health problems in patients with psychiatric symptoms 6. Selecting psychopharmacologic agents for the management of symptoms and neural system dysfunction (i.e., categories of drugs relative to specific disorders) 2

3 Note: Each item written within the test content outline classifications IC1 IC7 addresses at least one of the body systems noted below 1. Head, eyes, ears, nose, and throat (B1) 2. Respiratory (B2) 7. Neurological (including psychiatric) (B7) 3. Cardiovascular (B3) 8. Endocrine (B8) 4. Gastrointestinal (B4) 9. Hematopoietic (B9) 5. Genitourinary/Reproductive (B5) 6. Musculoskeletal (B6) 10. Immune (B10) 11. Integumentary (B11) C. Advanced Health/Physical Assessment 1. Mental health disorders due to general medical conditions 2. General physical conditions associated with mental health disorders 3. Developing a comprehensive health assessment, including complete developmental/functional assessment, health history, family/genetic history, physical examination, and appropriate diagnostic testing 4. Performing a physical examination 5. Relating assessment findings to underlying pathology, psychopathology, and/or physiologic changes 6. Selecting general laboratory tests 7. Interpreting relevant laboratory and diagnostic data D. Epidemiology 1. Broad ecological, global, and social determinants of health 2. Synthesizing epidemiological data to design and deliver evidence-based practice E. Patient-Centered Care 1. Trauma informed care (i.e., awareness of potential traumatization via interventions) 2. Cultural competencies and spirituality 3. Recovery model of care (e.g., resilience, empowerment, autonomy) 4. Establishing and maintaining a therapeutic alliance 5. Assessing health literacy of a patient 6. Incorporating patient preferences, lifestyle, values, goals, rights, and responsibilities into care II. Professional Role and Policy (26%) A. Leadership 1. Leadership principles and concepts 2. Political activism 3. Reflective thinking principles, concepts, and practices 4. Conflict resolution, negotiation, mediation, workplace civility 3

4 5. Advocating for the value and role of the nurse practitioner 6. Fostering collaboration with multiple stakeholders to improve health care 7. Building and leading collaborative interprofessional care teams 8. Communicating within or across organizations B. Quality Improvement and Safety 1. Quality improvement methods and measures (e.g., trend analysis, data collection, analysis of errors) 2. Anticipatory planning 3. Directing quality improvement methods to provide safe, timely, effective, equitable care 4. Conducting peer review to promote a just culture of safety C. Practice Inquiry 1. Evidence-based practice (e.g., levels of evidence, appraisal of evidence) 2. Translating research into practice 3. Managing practice change 4. Applying clinical investigative skills to improve health outcomes 5. Disseminating evidence from inquiry to diverse audiences using multiple modalities D. Health Policy and Advocacy 1. Interdependence of policy and practice 2. Health policy development 3. Advocating for social justice, improved access, quality, and cost-effective care 4. Analyzing ethical, legal, and social factors influencing policy development 5. Advocating for health policies to ameliorate the impact of stigma on services for prevention and treatment of mental health problems, substance use, and psychiatric disorders E. Technology and Information Literacy 1. Ethical and legal issues related to the use of information technology, including copyright, privacy, and confidentiality (e.g., Health Insurance Portability and Protection Act) 2. Electronic health records, including policies related to implementation and use that impact care outcomes 3. Using information and communication technologies, resources, and principles of learning to teach and/or treat 4. Translating technical and scientific health information for various users needs 4

5 F. Health Delivery System 1. Organizational science (e.g., structure, systems, complexity science) 2. Health care economics (e.g., budgeting, finance, resource stewardship [human, financial, and materials], cost-benefit analysis, marketing) 3. Designing and implementing innovative models of care delivery and coordination III. Independent Practice Competencies (45%) A. Ethical, Legal, and Scope and Standards 1. Scopes and standards of practice 2. Regulations and guidelines related to the psychiatric and mental health nurse practitioner s practice 3. Integrating ethical principles in decision-making 4. Evaluating the ethical consequences of decisions 5. Applying ethically sound solutions to complex issues related to individuals, populations, and systems of care 6. Providing and obtaining informed consent B. Health Promotion and Disease Prevention 1. Growth, development, and life stages across the life span (e.g., theories, concepts, and variances) 2. Neuroprotective strategies (e.g., sources including environmental, psychotherapeutic approaches, and medications) 3. Performing a risk assessment of the patient, including the assessment of lifestyle and other risk factors (suicide, homicide, violence) 4. Assessing for barriers and facilitators to care 5. Selecting appropriate health promotion and disease prevention guidelines based on individual patient variances 6. Implementing primary, secondary, and tertiary prevention activities, including early intervention 7. Designing community-centered and culturally responsive strategies for health promotion and disease prevention 8. Providing patient-centered anticipatory guidance and counseling across the life span (e.g., prenatal, end-of-life care) C. Disorder and Symptom Management 1. Theories of treatment modalities 2. Evidence-based standards of care and clinical practice guidelines 5

6 Note: Each item written within the test content outline classification IIIC8 addresses at least one of the drug agents noted below 1. Antiinfective (D1) 7. Genitourologic (D7) 2. Antineoplastic (D2) 8. Immunologic (D8) 3. Cardiovascular (D3) 9. Musculoskeletal/analgesic (D9) 4. Endocrine (D4) 10. Neurologic (D10) 5. Eye, ear, and skin (D5) 11. Psychiatric (D11) 6. Gastrointestinal (D6) 12. Respiratory (D12) 3. Applying evidence-based therapeutic communication strategies in providing treatment 4. Managing psychiatric emergencies 5. Managing patients in crises 6. Selecting and Implementing evidence-based psychotherapies (including individual, groups, and families) 7. Conducting psychoeducation 8. Managing pharmacotherapeutics 9. Recommending non-pharmacotherapeutics, including complementary and alternative treatments 10. Evaluating patient responses and modifying the treatment plan as necessary D. Advanced Psychiatric and Mental Health Assessment 1. Diagnostic criteria (e.g., Diagnostic and Statistical Manual of Mental Disorders, current International Classification of Disease) 2. Psychopathology 3. Conducting a clinical interview 4. Performing an initial age and developmentally appropriate comprehensive psychiatric evaluation 5. Performing a problem-focused psychiatric evaluation 6. Analyzing the relationship between normal and specific system alterations associated with mental health problems, psychiatric disorders, and treatment 7. Selecting and interpreting diagnostic and screening tools 8. Developing and prioritizing a differential diagnoses list 9. Formulating multiaxial diagnoses Last Updated 5/4/2012 Copyright 2012 by. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or by any information storage or retrieval system. 6

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