Mental Health Nursing (RMHN)-NMC Licensing Exam Breakdown

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 Below is the structure of the Registered Mental Health Nursing (RMHN) Licensing Examination:


Paper 1

Principles and Practice of Psychiatric Nursing – 180 MCQs

Duration: 3 hours


Paper 2

Psychiatry, Psychopathology, and Psychopharmacology – 180 MCQs

Duration: 3 hours


Paper 3

General Paper – 100 MCQs

Duration: 1 hour 30 minutes


Paper 4

Practical Examination – Psychiatric Nursing Practice

 • Mental status examination (MSE)

 • Therapeutic communication and interviewing skills

 • Crisis intervention and counseling techniques

 • Administration of psychotropic medications and monitoring side effects

 • Group therapy participation and documentation

 • Use of restraints and seclusion according to guidelines

 • Rehabilitation and community reintegration support


Paper 5

Care Study (Psychiatric Focus)

The Care Study for Mental Health Nursing evaluates a candidate’s ability to apply the nursing process in psychiatric and mental health care. Candidates are expected to:

 1. Introduction

 • Patient profile (age, sex, presenting complaint, psychiatric diagnosis).

 2. History and Assessment

 • Psychiatric history, medical history, family and social history.

 • Mental Status Examination (appearance, behavior, mood, thought, perception, cognition, judgment, insight).

 3. Nursing Diagnoses

 • Identification of actual/potential problems (e.g., disturbed thought processes, risk for violence, impaired social interaction).

 4. Planning

 • Setting individualized objectives for psychiatric care (symptom management, safety, social functioning).

 5. Implementation

 • Nursing interventions such as:

 • Establishing a therapeutic nurse–patient relationship.

 • Administering and monitoring psychotropic medications.

 • Teaching coping mechanisms and relapse prevention.

 • Collaborating with psychiatrists, psychologists, and social workers.

 6. Evaluation

 • Reviewing patient progress against objectives (e.g., reduced hallucinations, improved mood, better social interaction).

 7. Conclusion and Recommendations

 • Summary of psychiatric care given.

 • Referrals, follow-up, and community mental health support.


Note: The RMHN exam focuses heavily on therapeutic communication, safe medication use, and psychosocial rehabilitation, reflecting the unique role of the mental health nurse.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.


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