AANPCB PMHNP-C case studies
AANPCB PMHNP-C · Put your knowledge to work in context.
The Psychiatric Mental Health Nurse Practitioner (PMHNP) certification examination is offered by the American Academy of Nurse Practitioners Certification Board (AANPCB), which operates as the Nurse Practitioner Certification Board (NPCB). It is an entry-level, competency-based examination that tests clinical knowledge of psychiatric mental health across the life span, and it is intended for nurse practitioners seeking national certification in psychiatric mental health practice. The AANPCB PMHNP-C case studies are 5 cases and about 2,532 words.
1New-Onset Psychosis in a Patient With Recent Stimulant Use
A 24-year-old college senior is brought to the clinic by his roommate after 5 days of decreased sleep (about 2 hours per night), rapid speech, and the belief that campus police are monitoring his laptop. He has no prior psychiatric history and no known family history.
565 words, about 3 min2Treatment-Resistant Depression With a Subtle Bipolar Signal
A 41-year-old woman with major depressive disorder has failed adequate trials of sertraline 200 mg daily (10 weeks) and bupropion XL 300 mg daily (8 weeks), with partial response only. Current PHQ-9 is 17.
519 words, about 3 min3Agitated Older Adult With Possible Delirium
An 82-year-old man with mild cognitive impairment is brought in by his daughter for 3 days of worsening confusion, visual hallucinations of 'children in the yard,' and nighttime restlessness. He was recently started on oxybutynin for urinary urgency and diphenhydramine at bedtime for sleep.
455 words, about 2 min4First-Episode Psychosis: Antipsychotic Selection and Metabolic Monitoring
A 19-year-old man presents with 6 months of social withdrawal, declining grades, and 3 weeks of auditory hallucinations and the belief that classmates can read his thoughts. He is otherwise healthy, BMI 22, no substance use on screening, and no prior treatment.
477 words, about 2 min5Perinatal Anxiety and Depression: Weighing Treatment Against Untreated Illness
A 29-year-old woman at 22 weeks' gestation presents with 6 weeks of persistent worry, initial insomnia, palpitations, and intrusive thoughts that something will happen to the baby. GAD-7 is 15; PHQ-9 is 12 with no suicidal ideation.
516 words, about 3 min