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

A. Leading a group discussion with several clients who have schizophrenia and are dealing with tardive dyskinesia. This is an example of tertiary prevention, which focuses on managing existing conditions and minimizing complications. The goal is to improve quality of life and prevent further deterioration rather than early detection or prevention. B. Screening college students who demonstrate manifestations of depressive disorder. Secondary prevention involves early detection and intervention to reduce the severity or progression of a condition. Screening for depression helps identify at-risk individuals early, allowing for timely treatment and prevention of worsening mental health issues. C. Training volunteers in an adult day care facility to communicate effectively with clients who have cognitive impairments. This represents tertiary prevention, as it focuses on helping caregivers manage clients with existing cognitive impairments, improving communication and care rather than early detection or intervention. D. Teaching personal coping skills to a group of adults whose parents have Alzheimer's disease. This is a form of primary prevention, as it aims to reduce stress and emotional burden before mental health issues develop in caregivers. The goal is to prevent psychological distress rather than identify or treat an existing condition.