Top 4 Questions to Ask If You Are Considering Becoming a Psychiatric-Mental Health Nurse Practitioner (PMHNP)

At Frontier Nursing University (FNU), our goal is to make resources readily available for not only our students, but also those who are thinking about furthering their nursing education. A Psychiatric-Mental Health Nurse Practitioner (PMHNP) is an advanced practice nurse that seeks to improve mental health care and the overall health status of communities. With a focus on lifetime care for individuals, PMHNPs are committed to promoting mental health through assessment, diagnosis and treatment of behavioral problems, mental disorders and comorbid conditions.

Here are some of the top questions you should ask if you are considering becoming a Psychiatric-Mental Health Nurse Practitioner (PMHNP):

Q: Why become a PMHNP?

A: Simply put: Your community needs you to answer the call!

According to the Centers for Disease Control, mental illnesses are among the most common health conditions in the United States. One in 5 Americans will experience a mental illness in a given year (59.3 million in 2022 which was 23.1% of the U.S. adult population); 1 in 3 or 29% of U.S. high school students reported their mental health was not good most of the time or always during the past 30 days.

Did you know that mood disorders, including major depression, dysthymic disorder and bipolar disorder, are the third most common cause of hospitalization in the U.S. for both youth and adults aged 18–44 (“HCUP Facts and Figures,” 2009)? Further, those living with serious mental illness face an increased risk of having chronic medical conditions. Subsequently, adults in the U.S. living with serious mental illness die on average 25 years earlier than others, largely due to treatable medical conditions and lack of access to care (Colton & Manderscheid, 2006; “Morbidity & Mortality,” 2006).

Let’s also take a moment to consider suicide. Devastatingly, suicide is the 10th leading cause of death in the U.S. and the 2nd leading cause of death for people aged 15–34. The lack of access to psychiatric services across the nation has been an unfortunate reality for decades and despite the obvious increasing demand for care, and we see the shortage continue to become increasingly pronounced. Although tackling our mental health crisis most certainly will require a range of interrelated solutions, one key starting point is expanding the psychiatric workforce.

Q: What does a PMHNP do?

A: PMHNPs assess, diagnose, and treat individuals and families with psychiatric disorders or the potential for such disorders using evidenced based practice guidelines, therapeutic skills, pharmacological intervention, and psychotherapy.  

They can provide some primary care services to their patient population, practice as patient advocates, and are champions of stigma reduction. You can find PMHNPs working in settings such as private practices, substance use disorders clinics, in-patient settings, schools, long-term care facilities, community mental health centers, emergency rooms, urgent care/crisis clinics, primary care and specialty medicine practices, and rehabilitation centers.

Q: How long does it take to become a PMHNP?

A: PMHNPs are registered nurses with advanced master’s and/or doctoral degrees, which requires several years of post-secondary education. PMHNPs have advanced education and training in assessment, diagnosis, treatment and planning of mental health disorders including psychopharmacology, psychotherapy, practice evaluation, consultation, care coordination and collaborative care approaches.

Frontier Nursing University’s online Psychiatric-Mental Health Nurse Practitioner program allows you to attend full- or part-time, complete courses online, and complete a clinical practicum in your community.

Q: Who credentials PMHNPs?

A: The American Nurse Credentialing Center (ANCC) is the board certifying body for PMHNPs. The ANCC board exam is a competency-based examination which consists of health promotion and maintenance, differential diagnosis and disease management, and the use and prescription of pharmacological and non-pharmacological interventions across the lifespan (ANCC, 2018). Once successfully passing the ANCC board examination, the credential awarded is PMHNP-BC.  Licensure including scope of practice varies by state and is regulated by the respective state Boards of Nursing, Boards of Medicine and/or Pharmacy Boards.

Exam Pass Rates

FNU PMHNP MSN and PGC graduates have an overall certification pass rate of 97% (ANCC 2025).

Frontier Nursing University offers a graduate Psychiatric-Mental Health Nurse Practitioner specialty track that can be pursued full- or part-time while completing a Master of Science in Nursing or a Post-Graduate Certificate.

Ready to become a PMHNP? Frontier Nursing University offers a graduate Psychiatric-Mental Health Nurse Practitioner specialty track that can be pursued full- or part-time while completing a Master of Science in Nursing or a Post-Graduate Certificate. With our distance education model, your home community serves as your classroom. FNU faculty are committed to being present and providing consistent support throughout the educational journey.

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