Clinical reasoning you can practice,
not just read about

Every case starts with a clinical scenario that practicing PMHNPs actually encounter — the ambiguous presentation, the inherited med list, the side effect that mimics a new diagnosis. Cases are structured around decision points where there is a best-supported answer grounded in current evidence, not opinion questions with equally defensible alternatives.

Pharmacology data is sourced from FDA-approved prescribing information. Diagnostic criteria follow the DSM-5-TR. Treatment algorithms reference APA practice guidelines, NICE guidelines, and current consensus statements. When the evidence is mixed or evolving, cases say so explicitly.

Each case undergoes a clinical accuracy review before publication. Drug dosages, interaction profiles, and mechanism claims are reviewed against FDA-approved labeling and authoritative references. Diagnostic thresholds and scoring instruments are checked against primary or widely accepted sources when applicable.

Cases also go through a guardrails review: imperative clinical language (“always do X”) is reframed as clinical reasoning, definitive claims are softened where the evidence warrants it, and demographic generalizations are reframed as diagnostic bias awareness. The goal is to model how experienced clinicians think — not to issue directives.

The question bank covers all 8 ANCC PMHNP certification exam domains: psychopharmacology, diagnosis and assessment, treatment planning, psychotherapy, scientific foundation, ethics and legal issues, professional practice, and special populations. Each question includes a clinical vignette, four answer options, and a detailed rationale explaining why the correct answer is right and why each distractor is wrong.

Questions are aligned with ANCC exam domains and written in a similar style — emphasizing clinical application over rote recall. You can take custom quizzes filtered by domain, and paid tiers support performance tracking and personalized study planning to help focus your review.

PMHNP Helper is not medical advice. It is not a substitute for clinical supervision, board review, or continuing education credits. All patient scenarios are entirely fictional. The content is designed to supplement clinical training — not replace the judgment that comes from supervised practice and experience.