Which nursing activities represent the tertiary level of mental health care? Select all that apply
a. Providing a depression screening at a local college
b. Helping a mental-challenged patient learn to make correct change
c. Reporting an incidence of possible elder abuse to the appropriate legal agency
d. Regularly assessing a patient's understanding of their prescribed antidepressants
e. Providing a 6-week parenting class to teenage parents through a local high school
ANS: B, D
Tertiary prevention reduces the residual effects of the disorder such as depression and mental retardation. There is no quaternary level of prevention. Primary prevention reduces occur-rences of mental disorders such as screenings and parenting classes, and secondary preven-tion reduces the prevalence of disorders as evidenced by assessing knowledge.
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