Plan

The Plan domain accounts for 26% of scored questions on the AANPCB PMHNP-C exam. It tests your ability to establish collaborative, patient-centered, evidence-based treatment plans that integrate pharmacotherapy, psychotherapy, level-of-care decisions, referrals, and patient education.

Questions in this domain cover the full scope of treatment planning: selecting first-line medications, choosing appropriate psychotherapy modalities, providing informed consent (including risks, benefits, and alternatives), determining level of care, making referrals, and educating patients. The AANPCB tests whether you can build a complete treatment plan, not just prescribe a medication.

The Plan domain also tests monitoring adherence while considering barriers — financial constraints, cultural factors, side effects, and access to care. A technically correct medication choice can be the wrong answer if the patient context makes it impractical. Safety planning, crisis intervention, and care transitions are also tested here.