A community health nurse is providing preventive care for a group of clients. Which of the following actions represents a secondary prevention strategy?

Choice A reason: This is an example of tertiary prevention. The clients already have a diagnosed mental illness and a chronic side effect (tardive dyskinesia), so the focus is on managing existing conditions rather than early detection. Choice B reason: This is a classic example of secondary prevention. Screening for depressive symptoms allows for early identification and prompt intervention before the condition worsens. Choice C reason: This represents primary prevention. Educating caregivers to improve communication helps prevent mental health deterioration in cognitively impaired individuals. Choice D reason: This is also primary prevention. Teaching coping strategies to individuals at risk due to family history aims to prevent the onset of mental health issues.