ANCC
PMHNP-BC — Psychiatric–Mental Health NP (ANCC)
The PMHNP examination spans the lifespan and covers psychiatric assessment, DSM-5-TR diagnosis, psychopharmacology, psychotherapy modalities and mental health law.
Who is eligible
- · Active, current RN licence.
- · Graduate degree or postgraduate certificate from an accredited psychiatric-mental health NP programme (across the lifespan).
- · At least 500 faculty-supervised clinical hours in the PMHNP role.
- · The three separate graduate advanced practice courses.
- · Graduate content in psychotherapy, psychopharmacology and diagnostic reasoning.
How to apply, step by step
- · Create an account with the certification body and complete the online application for your population focus.
- · Upload official transcripts showing your graduate NP program, population focus and required advanced coursework.
- · Request your program director validation form if your transcript has not yet been posted.
- · Pay the examination fee; membership in a professional association usually reduces it.
- · Wait for the authorization to test notice, then schedule at a testing centre or for live remote proctoring.
- · Test within the 90-day authorization window — extensions are limited and usually carry a fee.
What the examination looks like
- · 175 items, 150 scored, three and a half hours.
- · Strong representation of psychopharmacology, monitoring parameters and safety.
- · Pass/fail scaled scoring.
Content weighting
Scientific foundation and assessment~30%
Diagnosis and treatment planning~35%
Psychotherapy and related theories~20%
Ethical, legal and professional practice~15%
Exam day
- · Arrive at least 30 minutes early with a valid, unexpired government photo ID whose name matches your application exactly.
- · Nothing personal goes into the testing room — phone, watch, notes and bags are stored in a locker.
- · Use the tutorial minutes to settle your breathing and set your pacing target (about one minute per question).
- · Flag and move on. Two minutes stuck on one item costs you three easy items later.
- · Read the last line of the stem first, then the stem, then the options; answer what is actually asked.
- · Choose the safest, least invasive, guideline-consistent action unless the stem gives you a reason not to.
- · Unscored pretest items are mixed in — a strange question is not a signal that you are failing.
Keeping the credential
- · Five-year certification period.
- · 75 continuing education hours including 25 in pharmacotherapeutics.
- · Additional renewal category activities plus an active RN licence.
Prepare for PMHNP-BC with us
Practice questions and full mock exams for this pathway are in the student dashboard, and one-to-one coaching is available.
Requirements and fees are set by the certification bodies and change periodically. Always confirm current rules on the official certification body website before applying.