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ANCC Psychiatric-Mental Health NP Certification Exam Update, Effective December 16, 2019

Q: I heard that there are upcoming changes to the ANCC Psychiatric-Mental Health NP (PMHNP) Certification Exam. What are they and how can I make sure that I am prepared to take the exam in late December?

A: The ANCC PMHNP test content will be updated on December 16, 2019. On or before December 13, 2019, the current test content outline will be in effect. The good news is that the current Fitzgerald PMHNP Certification Exam Review prepares you for both the new and current PMHNP Certification Exam. Major changes in the ANCC PMHNP exam update include shortened test time and questions, changes in content domains, and fewer questions on professional issues. Important differences between the new, updated exam and the current exam are highlighted below:


NEW, UPDATED ANCC PMHNP Exam: Effective December 16, 2019
3.5 hours to answer 175 questions (150 scored plus 25 pre-test questions that are not scored).


NEW ANCC PMHNP Test Content Domains

CategoryContent DomainNumber of questionsPercentage
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%

CURRENT ANCC PMHNP Exam: On or before December 13, 2019
4 Hours to answer 200 questions (175 scored plus 25 pre-test questions that are not scored).


CURRENT ANCC PMHNP Test Content Domains

CategoryDomains of PracticeNumber of questionsPercentage
I Foundations for Advanced Practice Nursing 51 29%
II Professional Role and Policy 70 40%
III Independent Practice Competencies 54 31%
TOTAL 175 100%

Please note: the update is specific to the ANCC PMHNP exam. For more details, go to ANCC: https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/