Q.1 Which of the following is a primary goal of community mental health nursing?
To provide intensive inpatient care
To promote mental health and prevent illness within the community
To conduct laboratory tests for psychiatric disorders
To prescribe medications independently
Explanation - Community mental health nursing focuses on health promotion, illness prevention, and improving the quality of life of individuals and communities rather than intensive hospital-based care.
Correct answer is: To promote mental health and prevent illness within the community
Q.2 Which intervention is most appropriate for reducing stigma associated with mental illness in a community?
Educating the community about mental health
Restricting access to mental health services
Keeping psychiatric patients isolated
Encouraging patients to hide their condition
Explanation - Education and awareness programs help dispel myths, reduce fear, and promote understanding, which reduces stigma.
Correct answer is: Educating the community about mental health
Q.3 Which is the most important skill for a community mental health nurse?
Advanced surgical skills
Effective communication and counseling
Ability to perform electroconvulsive therapy
Mastery of diagnostic imaging
Explanation - Community mental health nurses rely heavily on communication and counseling skills to engage clients, provide support, and educate communities.
Correct answer is: Effective communication and counseling
Q.4 A patient with chronic schizophrenia is living in the community. Which approach is most effective for maintaining their medication adherence?
Providing frequent home visits and education about medication
Telling the patient to manage medications independently
Withholding medication until symptoms worsen
Encouraging family to hide medications from the patient
Explanation - Regular follow-up, education, and support help patients adhere to treatment plans and prevent relapse.
Correct answer is: Providing frequent home visits and education about medication
Q.5 Which model emphasizes the collaboration between nurses, clients, and the community to plan mental health care?
Biomedical model
Community-oriented primary care model
Hospital-centered model
Psychoanalytic model
Explanation - This model integrates community participation, preventive measures, and health promotion to deliver holistic mental health care.
Correct answer is: Community-oriented primary care model
Q.6 Which is a common barrier to accessing mental health services in the community?
Awareness and education
Transportation difficulties and stigma
Community support programs
Availability of trained nurses
Explanation - Geographical, financial, and social barriers often limit access to mental health services, making outreach and support essential.
Correct answer is: Transportation difficulties and stigma
Q.7 What is the primary purpose of a mental health screening in the community?
To provide emergency care
To identify individuals at risk for mental health issues early
To conduct research only
To hospitalize all clients
Explanation - Screening allows early detection, intervention, and prevention of mental illness within the community.
Correct answer is: To identify individuals at risk for mental health issues early
Q.8 Which of the following best describes 'case management' in community mental health nursing?
Providing a single service once a year
Coordinating multiple services to meet a client’s needs
Prescribing medication without consultation
Only providing counseling in the hospital
Explanation - Case management involves planning, coordinating, and monitoring services for clients to ensure comprehensive care in the community.
Correct answer is: Coordinating multiple services to meet a client’s needs
Q.9 Which intervention is most appropriate for a community mental health nurse working with a suicidal client?
Conducting risk assessment and developing a safety plan
Ignoring warning signs
Providing general health education only
Advising family to leave the client alone
Explanation - Safety planning and risk assessment are essential to prevent suicide and ensure the client receives appropriate support.
Correct answer is: Conducting risk assessment and developing a safety plan
Q.10 Which role does a community mental health nurse play in promoting mental health in schools?
Providing classroom lectures on mental health awareness
Prescribing medications to students
Conducting surgeries for mental disorders
Isolating students with behavioral issues
Explanation - Nurses educate students, teachers, and staff on mental health, coping strategies, and early identification of problems.
Correct answer is: Providing classroom lectures on mental health awareness
Q.11 Which is an essential component of a community mental health program?
Hospital-centered care only
Assessment, planning, intervention, and evaluation
Laboratory tests for every individual
Exclusive psychiatric inpatient care
Explanation - Effective community mental health programs require systematic processes to identify needs, implement strategies, and evaluate outcomes.
Correct answer is: Assessment, planning, intervention, and evaluation
Q.12 Which nursing intervention is most effective for families caring for a mentally ill member at home?
Providing caregiver education and support
Leaving them to manage independently
Recommending institutionalization immediately
Encouraging secrecy about the illness
Explanation - Education, emotional support, and guidance improve family coping strategies and patient outcomes.
Correct answer is: Providing caregiver education and support
Q.13 Which factor most influences the mental health of a community?
Genetic predisposition only
Socioeconomic status, environment, and social support
Availability of surgical centers
Type of hospital furniture
Explanation - Mental health is affected by multiple social determinants, including income, education, social networks, and environment.
Correct answer is: Socioeconomic status, environment, and social support
Q.14 What is the role of psychoeducation in community mental health nursing?
Educating clients and families about mental illness and coping strategies
Conducting laboratory tests
Providing only medication management
Isolating patients from the community
Explanation - Psychoeducation empowers patients and families, improves adherence to treatment, and reduces relapse risk.
Correct answer is: Educating clients and families about mental illness and coping strategies
Q.15 Which approach is used to prevent relapse in clients with chronic mental illness in the community?
Regular follow-up, support, and medication adherence monitoring
No follow-up after discharge
Frequent hospitalization
Avoiding any family involvement
Explanation - Monitoring adherence, providing support, and early intervention reduce relapse rates and improve quality of life.
Correct answer is: Regular follow-up, support, and medication adherence monitoring
Q.16 Which of the following is an example of primary prevention in community mental health?
Mental health awareness campaigns
Providing treatment for schizophrenia
Crisis intervention for suicide attempts
Rehabilitation after hospitalization
Explanation - Primary prevention focuses on preventing the onset of mental illness through education, awareness, and early intervention.
Correct answer is: Mental health awareness campaigns
Q.17 Which legislation primarily supports community mental health services in many countries?
Mental Health Act
Civil Procedure Code
Traffic Regulation Act
Income Tax Act
Explanation - The Mental Health Act provides legal frameworks for promoting community-based mental health care and protecting patient rights.
Correct answer is: Mental Health Act
Q.18 Which is an indicator of a successful community mental health program?
Reduced hospital readmissions and improved quality of life
Increased hospital stay durations
Higher medication errors
Isolation of clients
Explanation - Effective community programs prevent relapses, reduce hospitalization, and enhance social functioning.
Correct answer is: Reduced hospital readmissions and improved quality of life
Q.19 Which community group is particularly vulnerable to mental health issues?
Adolescents, elderly, and marginalized populations
Healthy adults only
Professional athletes
Employees in IT companies exclusively
Explanation - These groups face higher stress, social isolation, or lack of resources, increasing vulnerability to mental illness.
Correct answer is: Adolescents, elderly, and marginalized populations
Q.20 Which approach is used to empower communities in mental health nursing?
Encouraging community participation and self-help groups
Excluding community from planning
Hospitalizing all clients
Focusing solely on medication
Explanation - Empowerment involves educating, engaging, and supporting communities to take responsibility for their mental health.
Correct answer is: Encouraging community participation and self-help groups
Q.21 Which technology is increasingly used to support community mental health nursing?
Telepsychiatry and mobile mental health apps
X-ray imaging for diagnosis
Surgical robotics
Physical exercise machines
Explanation - Telehealth technologies increase access to care, especially in remote or underserved areas.
Correct answer is: Telepsychiatry and mobile mental health apps
Q.22 Which is a secondary prevention strategy in community mental health nursing?
Screening for early signs of depression
Promoting stress management in the general population
Rehabilitation for chronic schizophrenia
Hospitalization of all mental health clients
Explanation - Secondary prevention aims to detect illness early and reduce severity or complications.
Correct answer is: Screening for early signs of depression
Q.23 Which is the most appropriate approach to manage aggression in the community setting?
De-escalation techniques and supportive interventions
Physical restraint without assessment
Ignoring aggressive behavior
Immediate hospitalization always
Explanation - Managing aggression in community settings requires safe, non-coercive strategies emphasizing communication and support.
Correct answer is: De-escalation techniques and supportive interventions
Q.24 Which is the main purpose of mental health promotion campaigns in the community?
Increase awareness, reduce stigma, and encourage help-seeking behavior
Conduct laboratory experiments
Train nurses only
Focus on inpatient treatment exclusively
Explanation - Campaigns aim to improve knowledge, attitudes, and behavior related to mental health, fostering early intervention and prevention.
Correct answer is: Increase awareness, reduce stigma, and encourage help-seeking behavior